Bronchopulmonary aspergillosis: new developments

Bronchopulmonary aspergillosis are in the news. Invasive pulmonary aspergil losis raise early diagnostic problems and prevention problems in immunocomp romised patients. These infections are no unusual in chronic obstructive pu lmonary disease. The diagnosis between aspergilloma and chronic necrotizing pulmonary aspergillosis can be difficult. In allergic bronchopulmonary asp ergillosis, epidemiology and therapy are questionable. Real progress has be en made dire to thoracic computed tomographic scan and mycological methods. Better use of amphotericin B, of amphotericin B lipid formulations and of azole antifungal agents. combined with surgical resection if necessary shou ld improve aspergillosis prognosis.