Acute or chronic
Aspergillus can have an acute or chronic course. With an acute form, the fungal spores attack different places and cause a large infection throughout the body. In addition to the airways, the liver and kidneys can also be affected. The pigeon will soon become ill, will not want to eat and will have difficulty breathing. They often drink a lot and droppings may be green coloured. They can even die suddenly without obvious symptoms.
The chronic form is more common. The fungi grow slowly, from one or more places in the body (often starting in the airways). They form plaques and granulomas (lumpy masses) of mould.
The fungus can attack at different places in the body. For example, fungal plaques can be in the nose or in the throat slit, and they often settle in the air pockets. Here they cover the wall and can even close the connection to the lungs. Spores that are formed spread slowly through the body. This can be a very insidious process. The birds are not acutely ill, but do lose condition, can be a bit slow and sleep a bit more. Shortness of breath is often present, especially after exertion.