To the Editor: A 44-year-old man with moderately severe asthmawas first seen in the infectious-disease clinic in November1999 because of a recent diagnosis of pulmonary aspergillosis.The patient had noted an increase in his asthma symptoms duringthe summer of 1999. A chest x-ray film obtained at that timehad revealed bilateral cavitary lesions. An open-lung biopsyin September 1999 had revealed chronic necrotizing aspergillosis.
The patient had no known history of immunosuppression. His medicationsincluded fluticasone (delivered in two puffs of 220 µgfour times a day [total daily dose, 1760 µg]) and zafirlukast(20 mg per . . . [Full Text of this Article]
References
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