Case Presentations Cases, with interactive keypad voting, highlighting diagnostic and treatment challenges

Interview with CPA patient

This patient had severe kyphoscoliosis as a child with insertion of spinal rods in early adulthood. She is a life-long non-smoker. She first presented in 2001 with an irritating cough and several treatments with antibiotics failed to alleviate it.Aspergillus precipitin titre was high and she was initially diagnosed with chronic pulmonary aspergillosis with one cavity containing an aspergilloma. This patient developed resistance to all azole therapies.

Indoor mould. How can I clean up at home?

Sources of aspergillus and how can I clean up at home? By Professor Malcolm Richardson

Active cycle breathing technigues and benefits of excercise for aspergillosis patients

Informal recording of a meeting for patients. By Philip Langridge Aspergillosis Specialist Physiotherapist.

Tips on how to produce sputum

Simple steps for patients to loosen phlegm in the lungs and easily produce sputum samples for testing in the clinic. Designed for aspergillosis patients or any patients with respiratory illnesses.

Double lung transplant & CF

A double lung transplant has been carried out on a young cystic fibrosis patient, who had more than 10 aspergillomas in her lung. Clip shown on BBC North West news shows an interview with Becky and Prof Denning.

A carer’s story of living with aspergillosis

Short history from patient’s wife. Brief history and experiences of attending National Aspergillosis Centre

Identification of antibodies to fungal pathogens by immunodiffusion

Immunodiffusion technique to test for serum antibodies in patients – describes how to set up a test for the presence of antibodies in serum which are specific to various fungal pathogens. The technique is used to test and measure titres of these antibodies in the serum of infected patients.

BBC nearly half of adults with cystic fibrosis are infected by aspergillus

21-year-old medical student Jo Armstead has made a major discovery, which will help doctors better able to diagnose and treat patients with Cystic Fibrosis (CF). Jo spent hundreds of hours accessing data from 30 countries to discover that there are over 75,000 people with the genetic disorder, of whom half are over 18 years – with 50 per cent infected by the fungus, Aspergillus. Professor David Denning, Director of the NHS National Aspergillosis Centre and Professor of Infectious Diseases in Global Health at the University of Manchester explains: “The life expectancy of people with CF has been increasing, but aspergillosis has a major negative impact on many. By painstakingly crunching the numbers, Jo has helped us better understand the scale of the challenge which will lead to better diagnostics and treatment strategies.” Prof Denning and Jo were interviewed on BBC-1 Breakfast last Sunday June 29th.

Open the windows Poetry & Medicine

Literary event – Manchester Literature Festival hosted at Manchester Museum to increase awareness of Aspergillosis, in October 2013. Exploring literature, music and medicine.

The Role of Echinocandins

Fungi are eukaryotic organisms which possess a unique cell wall and cell membrane that can serve as targets for antifungal agents. The echinocandin class of antifungal agents target the cell wall of fungi. Watch this animation for more information.