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Table 3 Diagnostic criteria for invasive aspergillosis [10]

From: Management of pulmonary aspergillosis in children: a systematic review

Diagnosis

Criteria

Certain

Histological or cytological evaluation of lung tissue with hyphae on needle aspiration or biopsy in which hyphae or melanized yeast-like forms are associated to tissue damage

or

Positive culture test for Aspergillus on pulmonary specimen taken by sterile procedure

and

Clinical or radiologic abnormalities consistent with infection

Probable

At least 1 host factor (tab. 2)

and

Mycological evidence

- positive microscopy or culture for Aspergillus on sputum, BAL bronchial brush, or aspirate

- positive Aspergillus PCR (at least 2 tests)

- positive antigenic assaya

AND

Clinical criteria consistent with infectionb

Possible

At least 1 host factor (tab.2)

and

Clinical criteria compatible with infectionb

  1. aPositive antigenic assay: detection of galactomannan in plasma, serum, BAL, or CSF. β-D-glucan was not considered to provide mycological evidence of any invasive mold disease
  2. bClinical criteria compatible with infection: characteristic infiltrates on CT (dense, well-circumscribed lesions with or without halo sign, air crescent sign, or cavity), tracheobronchitis diagnosed by bronchoscopy, or infiltrates that are uncharacteristic but associated with specific pulmonary symptoms or signs (e.g., pleural pain, haemoptysis)
  3. Abbreviations: BAL Bronchoalveolar lavage, CSF Cerebrospinal fluid, CT Computed tomography, PCR polymerase chain reaction