Table 1: Diagnostic criteria for chronic necrotizing aspergillosis
. TABLE 1 Diagnostic criteria for chronic necrotising aspergillosis Diagnostic Characteristics criteria Clinical * Chronic (> 1 month) pulmonary or systemic symptoms, including at least one of: weight loss, productive cough or haemoptysis * No overt immunocompromising conditions (e.g.
Chronic necrotizing pulmonary aspergillosis (CNPA) is an uncommon invasive pulmonary infection with a slow and indolent course.4 We present a case of chronic necrotizing aspergillosis
in a patient on immunosuppressive therapy due to renal transplantation.
For Aspergillus infections, the guidelines recommend intravenous voriconazole or liposomal amphotericin B for invasive pulmonary aspergillosis; voriconazole or itraconazole for mild to moderate chronic necrotizing aspergillosis
; and liposomal amphotericin B or intravenous voriconazole for severe chronic necrotizing aspergillosis