The clinical symptoms of invasive pulmonary aspergillosis are not specific, early symptoms may include cough, fever and haemoptysis, and patients with acute invasive pulmonary aspergillosis often have dyspnoea and hypoxaemia.
Patients with pulmonary aspergillosis are usually asymptomatic and are often detected on physical examination. The main symptoms in patients with allergic bronchopulmonary aspergillosis are cough, sputum, wheezing, and also hypothermia, wasting and malaise, and occasionally coughing up brown mucous jelly-like sputum clots.