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The size of the fungal mass, the patient’s overall health, and the symptoms are what determine the current course of treatment for aspergilloma, a fungal infection caused by the Aspergillus species. Watchful waiting is generally advised for patients with minimal or no symptoms, along with routine imaging and clinical evaluation monitoring. Treatment options for aspergilloma may include antifungal drugs (such as voriconazole or itraconazole) to help lower the fungal burden and treat respiratory problems or coughing up blood (hemoptysis). However, these drugs may not always completely eradicate the fungus. Surgery to remove the fungal ball (aspergilloma) may be required in extreme situations. Other alternatives include embolization, which is a minimally invasive surgery that blocks the blood arteries that supply the aspergilloma in order to reduce bleeding.
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