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- Title
Allergic Bronchopulmonary Aspergillosis Masquerading as Invasive Pulmonary Aspergillosis.
- Authors
Coop, C. P. T. Christopher; England, M. J. A. Ronald W.; Quinn, L. T. C. James M.
- Abstract
Allergic bronchopulmonary aspergillosis (ABPA) is a non invasive complex hypersensitivity reaction that occurs in immunocompetent patients with asthma. Aspergillus can invade and disseminate, but this more commonly occurs in severely immunocom-promised patients receiving high-dose corticosteroids. We report the case qf a 13-year-old immunocompetent male patient with moderate persistent asthma who appeared to have invasive pulmonary aspergillosis on radiographic studies. With further evaluation and workup, it was determined that the patient did not have invasive pulmonary aspergillosis, but that he met the diagnostic criteria for ABPA. Although initially there was a deceptive invasive appearance, proper identification of ABPA facilitated selection of corticosteroid treatment that resulted in prompt clearing of the concerning infiltrates.
- Subjects
ASPERGILLOSIS; OBSTRUCTIVE lung diseases; ASTHMA; BRONCHIAL diseases; LUNG diseases; TECHNICAL specifications
- Publication
Allergy & Asthma Proceedings, 2004, Vol 25, Issue 4, p263
- ISSN
1088-5412
- Publication type
Article