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Importance of Galactomannan Dosage in Bronchoalveolar Lavage for Diagnosing Bronchopulmonary Aspergillosis: A Case Report

DOI : https://doi.org/10.36349/easjpid.2025.v07i04.003
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Invasive pulmonary aspergillosis is a life-threatening condition that predominantly affects individuals with weakened immune systems. We report the case of a 70-year-old patient with a history of immunosuppression, diagnosed with invasive bronchopulmonary aspergillosis based on a positive galactomannan test. The diagnosis was supported by a combination of clinical history, predisposing factors, and characteristic findings on biological and radiological assessments. Confirmation relied on direct detection of the fungus through culture, antigen testing, and molecular methods. Early initiation of antifungal therapy was critical. The identification and management of this condition are often complicated by the diversity of underlying clinical contexts and nonspecific diagnostic indicators, emphasizing the need for a high index of suspicion and prompt intervention.

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Professor Thomas Count Dracula, MD, PhD

Distinguished Professor of Haematology Head — Experimental, Historical & Sensory Haematology Vlad the Impaler University, Wolf’s Lane, Wooden Stakes Grove 666, Transylvania.

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