Symptoms:

Symptoms depend on the actual type of infection. For symptoms of aspergillosis-related growth, see aspergilloma.

Symptoms of allergic aspergillosis may include:

• Cough
• Coughing up blood or brownish mucous plugs
• Fever
• Malaise (general ill feeling)
• Wheezing
• Weight loss
• Recurrent episodes of lung obstruction

Additional symptoms seen in invasive aspergillosis:

• Bone pain
• Blood in the urine
• Chest pain
• Chills
• Decreased urine output
• Endocarditis
• Headaches
• Increased sputum production, which may be bloody
• Meningitis
• Shortness of breath
• Sinusitis
• Vision problems

Signs and tests:

Tests to diagnose Aspergillus infection include:

• Aspergillus antigen skin test
• Aspergillosis precipitin antibody
• Chest x-ray
• Complete blood count
• CT scan
• Galactomannan (a molecule from the fungus that is sometimes found in the blood)
• Sputum stain and culture for Aspergillus
• Tissue biopsy (see bronchoscopy with transtracheal biopsy)