Why is invasive aspergillosis such a difficult disease to diagnose and treat

Поділитися
Вставка
  • Опубліковано 26 гру 2024

КОМЕНТАРІ • 45

  • @rickfearn3663
    @rickfearn3663 4 роки тому +2

    Wonderful and very clear presentation. Thanks so much Dr. Stanzani!

  • @TheKhush21
    @TheKhush21 3 роки тому +5

    I was diagnosed with invasive Aspergillosis and disseminated tuberculosis along with asthma and intestinal obstruction. It has been 6 years now and I am finally getting better. With care and instant diagnosis as well as timely medication, I survived. Even though I have certain underlying health issues that resulted from aspergillosis and TB, I am lucky I made through.

    • @tusharkhilari1897
      @tusharkhilari1897 3 роки тому

      Recovery is possible

    • @TheKhush21
      @TheKhush21 3 роки тому

      @@tusharkhilari1897 Yes, it is. When diagnosed on time and with proper medication

    • @vidulkumar
      @vidulkumar 3 роки тому

      Good to know. Take care

    • @petrosmeno527
      @petrosmeno527 3 роки тому

      I have aspergloma in my lung can you help me how you recover please or just replay your phone number

    • @harshvardhanvaidya
      @harshvardhanvaidya 2 роки тому

      Hi, my kid is having invasive Aspergillus...could you let me know where u got treated and if you have any Dr recommendation..

  • @Luigipokerlover
    @Luigipokerlover 4 роки тому +3

    Whos here to learn more about this?

  • @ericguy100
    @ericguy100 5 років тому +6

    which serological studies can be done to detect aspergillosis? Good talk

    • @sallybowles2781
      @sallybowles2781 2 роки тому +2

      Sadly only mycologic culture, which most labs don't do properly, the Aspergillosis hospital in Manchester says 3+ weeks of growing a culture to diagnose, while most labs give it maximum 5-7 days, and that explains why you have so many false negatives. Another instrument (not recognised by conventional medicine) is the mycotoxins panel, that will see what kinds of mycotoxins you have in your body, and that can give indications about which kind of fungus one is dealing with, but the test cannot distinguish between mycotoxins coming from the environment and mycotoxins from actual mold colonisation, so it s not conclusive. Otherwise you can do Igg and Ige test to see if you have an immune response against the mold, but it's usually available only for Aspergillus species, so if you have a different mold they won;'t see it.

  • @iftikhariqbal3222
    @iftikhariqbal3222 Рік тому +2

    My mother got this and we were surprised as to how fast it spread from a severe headache to bulging of her eye to losing her eye in a matter of day. It was a relatively early diagnosis and treatment started with amphoterrible that really had severe side effects with no stop in progression of the disease. Voriconazole also didn't help. It kept spreading until she got hydrocephalus and was in a state of semi consciousness. Eventually we started on itraconazole and alternative treatments and continued for a couple of years with VP shunt installed to get ber consciousness back. She has recovered although bad ridden with multiple nerve issues particularly affecting her speech. She is a centre of our world and it really turned upside down after the disease. But as a family you have to keep fighting and outcome will be in your favour.

    • @amysantos-qh4id
      @amysantos-qh4id 2 місяці тому

      How is your mom? What treatment helped her most ? I hope she is ok

    • @iftikhariqbal3222
      @iftikhariqbal3222 2 місяці тому

      @@amysantos-qh4id itraconazole. Also like I said we tried alternative medicines (herbs) to treat her. She is ok now but bedridden. The reason why I shared this as a post was because we had experience how debilitating the disease can be. Our whole family got tougher and fought it with my mom who has always been a fighter and eventually overcame the disease. The problem with fungal infections is that there are not many meds and it’s anyone’s guess which would work. Also one more thing: doctors recommended debridement but since it was near the optic nerve our neurosurgeon didn’t opt for it.
      Hope the information helped in some way. How sinuses were cleared by an ENT.

    • @nrini16
      @nrini16 24 дні тому

      ​@iftikhariqbal3222 what were the symptoms? My father is coughing up blood which is happening due to aspergilosis fungal lung infection

    • @iftikhariqbal3222
      @iftikhariqbal3222 23 дні тому

      @@nrini16 Just that she had a severe headache and bulging left eye when she lost vision in it.

    • @iftikhariqbal3222
      @iftikhariqbal3222 23 дні тому

      @@nrini16severe headache with swollen eyes.. she then lost her vision because the infection had affected her optical nerve

  • @HRTsAFyre
    @HRTsAFyre 3 роки тому

    Thank you Dr Stenzani I love your beautiful Italian accent. Avian Veterinarians could possibly help with your studies.

  • @sallybowles2781
    @sallybowles2781 2 роки тому +8

    Ok, but can anyone explain why they don't want to treat it BEFORE organ damage appears (apparently the only thing that will warrant an antifungal prescriptions, according to most "specialists")? Dr Denning's studies demonstrate that early treatment has almost always a favourable and DEFINITIVE outcome, can someone explain me why doctors refuse to treat it until it s untreatable? It s really shameful, I don't understand how these people sleep at night, so many lives completely destroyed, one really wonders why. Is it because when you treat it in the beginning you use antifungals for one year, but once it s untreatable you need antifungals and steroids for a lifetime? Is this the reason why they don't want to diagnose it earlier, to sell more medicines? I am in all the Aspergillosis patients groups available, all the stories are horrifying and heartbreaking. Shame on these doctors.

    • @TheKhush21
      @TheKhush21 2 роки тому +2

      I would not completely agree with this. In most invasive aspergillosis cases, including my own, the diagnosis is really hard. Aspergillosis is the type of fungus that cannot be easily diagnosed, as it has the characteristics to hide, until it starts damaging the organs. Most of all, it's symptoms are similar to other lung conditions like TB (I also had TB along with IA), which makes it difficult to unmask. And with my experience I can say that, especially in developing countries, the resources and technology to diagnose IA is not easily available. Moreover, with the rare nature of this fungus in humans, the research and awareness is limited, not to mention the high expense in diagnosing this issue. The antifungal medicine (voriconazole) itself is extremely expensive for any middle class person to afford.

    • @sallybowles2781
      @sallybowles2781 2 роки тому +4

      @@TheKhush21 the diagnosis is really hard first of all because the doctors don't listen to the patient's story, and secondly because, as Denning points out in every single paper of his, the standard colture is usually inadequate, and the diagnostics suck. When a patient says that all of their symptoms started right after inhaling a mold, (by the way, there are lots of molds that can inhabit the human body, not just Aspergillus) and symptoms that coincide with a fungal infection (changes in sputum color, smell, and density), a child would understand that the cause is some kind of fungal infection, but not allopathic doctors - instead, their criminal diagnostic guidelines state that until there is organ damage they just have to wait and let people suffer until they are incurable. Now I don't know if those murderous guidelines are a consequence of some really inadequate testing practices, together with total lack of common sense, or if they are a leftover from the times (30 years ago!) pre-azoles when antifungals were more deadly than the fungus itself and nobody took the time to update them, OR if we want to go into conspiracy theory territory and guess that some powers are happier when millions consume antifungals and steroids for many years as opposed to 6-16 months, that I don't know. All I know is that thankfully in the ND/ so called "mold illness doctor" community after Dr Nathan's work it's becoming more common to prescribe antifungals without waiting for the patient to be half dead before taking action. Conventional doctors should be really ashamed of themselves and should stop destroying the lives of people just to "obey orders". If they ever had a brain before getting their medical diploma, they should start using it and look at the actual facts to make a diagnosis.

    • @TheKhush21
      @TheKhush21 2 роки тому +3

      @@sallybowles2781 aspergillosis is a type of fungus that is present everywhere, yet few are affected by it. Being an invasive aspergillosis patient myself, i know what you are explaining here is not how it works.
      Anyways, I hope anyone affected by this deadly disease is diagnosed in time and treated well

    • @sallybowles2781
      @sallybowles2781 2 роки тому +2

      @@TheKhush21 what do you mean it's not how it works? mold colonisation can be invasive and non invasive, and it's not as rare as they say it is. Non invasive can go on for years without being deadly, as as anyone with Aspergillosis can attest, it's not a great life. The current diagnostic criteria are criminal and seem to be created to make sure that people are not diagnosed while they are still treatable.Things must change.

    • @MandyAliens
      @MandyAliens Рік тому +1

      @@sallybowles2781 you are right I just been through hell for the past 4 months . They allowed the infection to spread to both of my lungs before they would even do a bronoscopy and now they tell me I have this after fighting for months to find out what this is

  • @Linda-wc4gb
    @Linda-wc4gb 5 років тому +2

    The audio is very poor, couldn't hear this very well..

    • @brettj3850
      @brettj3850 4 роки тому +3

      The problem has to be at your end (either configuration or hardware fault). It is not a fault/defect of this UA-cam video.

  • @mwngw
    @mwngw 4 роки тому

    Why even post. Inaudible.

    • @brettj3850
      @brettj3850 4 роки тому +1

      The problem has to be at your end (either configuration or hardware fault). It is not a fault/defect of this UA-cam video.