Aspergillus?

Depends on the strain, but generally that's where itraconazole shines and fluconazole flops. You're female, right? Terbinafine is then hardly likely to dent your hairline, although really it's probably still worth it for males too, and the hair does seem to be growing back (with a little help, but still - breathing is A LOT more fun than wheezing like crazy but having slightly better hair anyways). Oh, and it wasn't really all THAT drastic, my hair sucked to begin with, and it's just that I'm so vain I'm still complaining about it.

An itra-terbinafine combo (there has been clinical testing and all for it, and it does work, esp. against Aspergillus spp.) and some polyene like nystatin or natamycin if you've also got gut symptoms sounds like a decent expectation, although a lab test for specific genus would make the call easier.

If you've got access to the heavy guns like voriconazole (costs like a new Honda Accord without a medical insurance that covers it - basically, 100x more expensive than a decent generic itra-terbinafine combo), I dunno, maybe that... No one really managed to get their hands on it - although aspergillus, at least, can and WILL be detected and recognized by doctors (you'll still probably have to hold their hand through the process, but hey, to them, it at least has the benefit of *existing*). Also, you _might_ just be able to sue your last employer or landlord into bankruptcy for it and take them for all they've got and then some and then some more, since it's supposedly not something that happens to people living and working in safe, habitable environments.

...don't know if voriconazole stacks with terbinafine as well, but for the uninsured or prescription-less, the itra-terbinafine combo is the poor man's heaviest calibre. It takes time, sometimes a lot, but *nothing* is fully immune to it.

And, in my humble opinion, it's still way milder on your body and liver than even low-dose fluconazole alone (maybe it's just me) and *infinitely* milder than ketaconazole (also personal experience, but here, every single publication under the sun agrees with yours truly).

And yeah, after 6 months of some pretty crazy experimentation with mixes, dosages, etc., I'm still alive, kicking, and being my general evil self - although I doubt my partied-out liver was anywhere near good shape when I started. YMMV, but it's not as scary or heavy stuff as some people would paint it to be - just DON'T mix it with NSAIDs and compound painkillers (ibuprofen, tylenol/acetaminophen/paracetamol/APAP, naproxen, metamisole, and mixes that contain them like Vicodin, Vicuprofen, T3, etc.) or booze.

Also, even if you turn out to be rather sensitive to it, low doses can be used to some pretty decent efficacy. A full pill of terbinafine (always comes in the same dose everywhere for some reason) isn't all that necessary to potentiate itraconazole, a quarter or less will do according to some recent research. And you don't need the 4-8 itra pills per day that the manufacturer recommends (OUCH), imho, 2's a schitload for a heavy kick, and even 1 will conjure up some pretty nice results.

What else? Other than that, treat it as you would candidiasis. Whether you have both or just aspergilliosis, the standard antifungal diet rules, hygiene ideas, and precautions apply. And probiotics really never hurt anyone yet.

Uhm... APB-what? Are we still talking about Aspergillus spp. here?

Perfectly curable, possibly easier than intestinal candidiasis to nail. Obviously, it's a bit more serious than the common cold and is best addressed before the patient's soul is on its way out of this mortal shell - so, yeah, you can probably get so bad that it'll get you, but it's new symptoms she's talking about here, not something she's been letting eat away at her for decades.