Table 1

Patient investigations and treatment

SUVmax (g/ml)OperationHistologyAspergillus IgG (mg/l)Precipitin titreTotal IgE (kIU/l)Aspergillus IgE (kUa/l)DiagnosisTreatment
Case 17.2Wedge resectionSeptate fungal hyphae and conidial heads781/2420.5CPAItraconazole
Case 28.3Wedge resectionHyphal fragments>2001/2804536.7ABPAItraconazole
Case 34.0Wedge resectionFungal hyphae involving adjacent blood vessels281/2110040.5Subacute IAVoriconazole
Case 43.5CT-guided biopsyFungal hyphae admixed with spores821/290<0.4CPAPosaconazole
Case 52.6Wedge resectionBranching fungal hyphae661/165708.0CPAItraconazole
Case 63.9CT-guided biopsyBranching fungal hyphae941/4140<0.4CPAItraconazole
Case 72.2Wedge resectionFungal hyphae admixed with spores56Neat100014.9CPAItraconazole
Case 87.9Wedge resectionBranching fungal hyphae50Neat73<0.4CPAVoriconazole
Case 99.0CT-guided biopsyBranching fungal hyphae761/6462<0.4CPAItraconazole
Case 102.9LobectomyAspergilloma1/261<0.4Simple aspergillomaNo antifungals
  • IgE and IgG determinations were performed by ImmunoCAP assay (Phadia) and precipitins by immunoelectrophoresis (using antigens from Microgen Bioproducts, Surrey, UK).

  • ABPA, allergic bronchopulmonary aspergillosis; CPA, chronic pulmonary aspergillosis; IA, invasive aspergillosis, Ig, immunoglobulin; SUVmax, maximum standardised uptake value.