“…Agricultural use of fungicides has driven the emergence and spread of azole-resistant A. fumigatus. The existence of an environmental route of azole resistance development involves serious risks for patients, as well, as they can become infected with azole resistant A. fumigatus strains before starting their treatment [ 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ]. Notably, genetic exploration of azole resistant A. fumigatus strains indicates that isolates with the TR 34 /L98H allele are less genetically variable than susceptible isolates [ 12 , 23 ].…”