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Warning-sign checks

Aspergillosis: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Emergency symptoms—including major bleeding, severe breathing difficulty, fainting, confusion, or seizures—should not wait for a routine appointment.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Coughing up even a small amount of blood deserves prompt medical advice, particularly if it is new or recurring.

  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up is tailored to the type of aspergillosis.

    Routine visits may include a symptom review, lung-function testing, blood tests, medication review, and repeat chest imaging.

    ABPA monitoring may include total IgE levels, while chronic or invasive disease may require CT scans and fungal testing.

    Keep follow-up appointments even when symptoms improve.

    Imaging and blood abnormalities may change more slowly than symptoms, and stopping treatment too early can allow disease to return.

    Tell the care team about missed doses, side effects, new medicines, or supplements because antifungal interactions are common.

    Contact the treating clinician before the next routine visit if cough, wheezing, fatigue, fever, or breathlessness is worsening.

Every sign above is quoted from the sofidex article on Aspergillosis. If you are not sure, err upward — it is always reasonable to be checked.