Aspergillosis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]; Yazan Daaboul, M.D.; Serge Korjian M.D.
Overview
Invasive pulmonary aspergillosis patients often appear sick-looking, lethargic, and fatigued. In contrast, patients with pulmonary aspergilloma, allergic bronchopulmonary aspergillosis, or allergic sinusitis often appear healthy. Physical examination of patients with pulmonary or invasive aspergillosis is usually remarkable for decreased breath sounds with wheezes, rales, and increased tactile fremitus. Physical examination of patients with cutaneous aspergillosis is usually remarkable for either single or multiple erythematous-to-violaceous cutaneous papules, macules, nodules, or plaques.[1][2][3]
Physical Exam
General Appearance
- Invasive pulmonary aspergillosis patients often appear sick-looking, lethargic, and fatigued
- Patients with pulmonary aspergilloma, allergic bronchopulmonary aspergillosis, or allergic sinusitis often appear healthy
Vital Signs
Skin
- Single or multiple erythematous-to-violaceous macules, papules, nodules, or plaques
- Pustules may be present among neonates
- Central necrotic ulcer
HEENT
- Facial tenderness
- Excessive mucus secretion
- Nasal inflammation
Cardiothoracic Examination
Extremities
References
- ↑ Aspergillosis. Wikipedia (2015) https://en.wikipedia.org/wiki/Aspergillosis Accessed on February, 8 2016
- ↑ van Burik JA, Colven R, Spach DH (1998). "Cutaneous aspergillosis". J Clin Microbiol. 36 (11): 3115–21. PMC 105285. PMID 9774549.
- ↑ Samarakoon P, Soubani A (2008). "Invasive pulmonary aspergillosis in patients with COPD: a report of five cases and systematic review of the literature". Chron Respir Dis. 5 (1): 19–27. doi:10.1177/1479972307085637. PMID 18303098.