Expert consensus on diagnosis and treatment of the post-tuberclulosis chronic pulmonary aspergillosis

doi:10.19871/j.cnki.xfcrbzz.2024.06.014

Abstract

Abstract: Chronic pulmonary aspergillosis (CPA) is a high fatality rate disease with atypical symptoms,and often occurring in residual cavities left after successful tuberculosis treatment. Due to its similar symptoms to tuberculosis, it is easy to be misdiagnosed. In China, a complete set of diagnosis and treatment norms for the post-tuberclulosis chronic pulmonary aspergillosis(post-TB CPA) has not been formulated. Therefore, this consensus referred to the relevant guidelines and consensus both domestically and internationally, organizing a centralized discussion among experts in the fields of tuberculosis, respiratory medicine, infectiology, microbiology, imaging and pathology. They formulated 13 recommendations to provide a reference for the standardized diagnosis and treatment and scientific management of patients with CPA after tuberculosis. These recommendations cover many aspects such as epidemiology, evidence-based medicine, and clinical diagnosis and treatment, aiming to improve the diagnosis and treatment level of post-TB CPA, reduce misdiagnosis and missed diagnosis, and ultimately improve patient outcomes.

Key words: Chronic pulmonary aspergillosis, Post-tuberclulosis, Treatment, Expert consensus, Diagnosis, Assessment

CLC Number:

R521
R519

Zhang Peize, Zhao Manman, Wei Fangjun, Shi Huaifang, Deng Guofang, Lu Hongzhou. Expert consensus on diagnosis and treatment of the post-tuberclulosis chronic pulmonary aspergillosis[J]. Electronic Journal of Emerging Infectious Diseases, 2024, 9(6): 74-84.

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