Netherlands (1)ARDS [62]  74/F  Polyarthritis, reflux, stopped smoking 20 years ago  Putative  No  GM serum = Persistently < 0.5 GM tracheal aspirate = >3 BDG serum = 1590  A. fumigatus, culture from tracheal aspirate (R)TR34/L98HICZ = 16µg/mL, VCZ = 2µg/mL, and POSA = 0.5µg/ml  VCZ + CASPO→ Oral VCZ→ L-AmB  Died