The Medical Mycology Society of Nigeria is an interdisciplinary professional society focused on generating much needed public health data on serious fungal infections in Nigeria and driving advocacy for better care of populations at risk.
The society also holds an annual invasive fungal infection forum (IFIF) to promote awareness amongst health care practitioners and train laboratory personnel to diagnose fungal infections.
August 9, 2018
MMSN members, Drs Nick Irhurhe and Rita Oladele served on a 33-member expert international panel that convened to develop a workable definition of chronic pulmonary aspergillosis for resource-constrained countries.
Their recommendations have been published in this online report in the CDC journal ‘Emerging Infectious Diseases’.
In summary, the following are required to make a diagnosis of CPA
1. Symptoms for 3 months or longer (haemoptysis and/or persistent cough, and/or weight loss) (other symptoms are common, but not required, notably fatigue, chest pain, breathlessness and sputum production)
2. Radiological features (progressive cavitation on chest imaging AND/OR intracavitary fungal ball AND/OR pleural thickening or pericavitary fibrosis or infiltrates all adjacent to cavities)
3. Microbiological evidence of Aspergillus infection (positive Aspergillus-specific IgG and/or sputum microscopy showing hyphae consistent with Aspergillus and/or Aspergillus growth on 2 or more sputum or other respiratory samples)