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Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (03): 145-149. doi: 10.3877/cma.j.issn.1674-1358.2022.03.001

• Review •     Next Articles

Progress of invasive pulmonary aspergillosis in patients with hematological diseases

Dan Feng1, Erlie Jiang1,()   

  1. 1. State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China
  • Received:2021-09-18 Online:2022-06-15 Published:2022-08-05
  • Contact: Erlie Jiang

Abstract:

Invasive pulmonary aspergillosis (IPA) is the main cause of death of fungal infection in patients with hematologic malignancies, especially in those receiving allogeneic hematopoietic stem cell transplantation. Early diagnosis and treatment is crucial to reduce morbidity and improve the prognosis. However, although the diagnosis and treatment of IPA had laboratory biology indexes, pathological and radiological data to support, and has formed a relatively complete system of diagnosis and treatment, but restricted to difficult obtain of the specimen, non-specific clinical features and prevented use of antifungal drugs, early diagnosis is still challenged. This article will discuss the understanding of IPA and related research progress on the pathogenesis, clinical manifestations, diagnostic criteria, current technologies including imaging and laboratory testing, and next-generation gene sequencing (NGS) applications in patients with hematological malignancies.

Key words: Hematological malignancies, Invasive pulmonary aspergillosis, Next generation sequencing

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