One of the most difficult referrals for the Respiratory registrar (or indeed Consultant) is the call from oncology / haematology / renal / HIV / immunology colleagues asking for an urgent review and bronchoscopy for an immunosuppressed patient with possible chest infection.
There are a host of possible tests to request to try to pin down which of these patients have fungal infection, but it has previously been somewhat murky, with differing opinions amongst specialists as to which tests are any use in which situations.
We hear from a reliable source (Dr Paul Pfeffer of Barts Health) that better tests are coming! Barts is holding a one-day workshop on Friday 2nd March with leading experts presenting the latest evidence and you can attend! There will also be interesting cases discussed on the Saturday as part of the Fungal Update meeting.
Go to www.fungalupdate.org if you are interested.
There are reduced prices for trainees, making it quite the bargain. Here is a sample of the programme to whet your appetite: