Research Keyword: galactomannan antigen

Successful Management of Spondylodiscitis Caused by Aspergillus nidulans: A Case Report and Literature Review

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A 59-year-old man with a weakened immune system developed a serious fungal infection of his spine caused by Aspergillus nidulans, a type of mold. The infection was diagnosed through imaging tests and laboratory cultures from a biopsy of the affected vertebrae. Treatment with an antifungal medication called voriconazole for six months successfully cleared the infection without requiring surgery, offering hope for managing this rare and previously often-fatal condition.

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Diagnostic performance of Aspergillus-specific immunoglobulin G immunochromatographic and enzyme-linked immunosorbent assay testing in chronic pulmonary aspergillosis: comparative analysis across subtypes and influencing factors

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This study compared two blood tests for diagnosing chronic pulmonary aspergillosis (CPA), a chronic fungal lung infection caused by Aspergillus. The rapid immunochromatographic test (ICT) performed better overall than the traditional ELISA laboratory test, making it more useful as a quick diagnostic tool, especially in areas without advanced laboratory facilities. However, both tests were less accurate in patients who had recently taken antifungal or steroid medications.

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Photo Quiz: A cutaneous fungal infection with discordant biomarker results—a diagnostic challenge

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This case describes a woman with advanced HIV who developed a serious fungal infection called histoplasmosis affecting her skin, lungs, and lymph nodes. Diagnosis was challenging because standard fungal blood tests came back negative, but careful examination of samples and specialized testing confirmed Histoplasma capsulatum. The patient was successfully treated with antifungal medications, highlighting the importance of not relying solely on negative tests when clinical suspicion is high.

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Pulmonary Aspergilloma in a Non-adherent Systemic Lupus Erythematosus Patient Receiving Long-Term Immunosuppression: A Report of a Rare Case

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A patient with systemic lupus erythematosus (SLE), a chronic autoimmune disease treated with long-term immune-suppressing medications, developed a serious fungal lung infection called pulmonary aspergilloma. Despite the complexity of managing multiple conditions and extensive bilateral lung involvement, the patient was successfully treated with prolonged voriconazole antifungal therapy rather than surgery, emphasizing the importance of early recognition and tailored treatment in immunocompromised patients.

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