Invasive pulmonary aspergillosis usually causes rapidly progressive, ultimately fatal respiratory failure if untreated.Extrapulmonary invasive aspergillosis begins with skin lesions, sinusitis, or pneumonia; may involve the liver, kidneys, brain, and other tissues; and is often rapidly fatal.Aspergillosis in the sinuses can form an aspergilloma, an allergic fungal sinusitis, or a chronic, slowly i