Unusual coexistence: Allergic bronchopulmonary aspergillosis and pulmonary tuberculosis- A rare case report
نویسندگان
چکیده
: Allergic Bronchopulmonary Aspergillosis (ABPA) is an allergic hypersensitivity reaction to the ubiquitous fungus Aspergillus that can cause inflammation and damage respiratory system. This condition predominantly occurs in individuals with long-standing airway disease, such as bronchial asthma or cystic fibrosis. While Acid-fast bacilli Mycobacterium tuberculosis causes (TB). ABPA TB coexist same patient. The coexistence of these two conditions make diagnosis treatment more challenging. because some symptoms ABPA, cough wheezing, be similar those TB, both lung damage. A 21-year young male was admitted a six-month history low-grade fever, expectoration, atypical chest pain, progressive breathlessness. On examination, patient had bilateral diffuse rhonchi coarse crepitation, his X-ray showed heterogeneous opacities cavities left upper middle zone. Further evaluation revealed total serum IgE 3074 IU/L (Normal <100) elevated levels fumigatus-specific IgG. high-resolution CT thorax lobes tree-in-bud centrilobular nodules, leading ABPA. sputum sample sent for AFB smear, which positive. bronchopulmonary aspergillosis fumigatus most commonly affects people who have However, challenging patients may not respond standard treatment, overlap other diseases. Therefore, clinicians need maintain high index suspicion at-risk consider appropriate screening tests. case highlights rare co-existence active pulmonary management, including anti-tubercular corticosteroid therapy, marked improvement condition. Clinicians should possibility multiple comorbidities presenting symptoms, management undertaken achieve optimal outcomes.
منابع مشابه
Coexistence of Pulmonary Aspergilloma and Allergic Bronchopulmonary Aspergillosis
A 63-year-old man with a history of pulmonary Mycobacterium tuberculosis and asthma was admitted to our hospital due to wheezing and coughing in the early morning. Chest radiography and computed tomography revealed a fungal ball in a thick-walled cavity in the right upper lobe, and consolidation with high-attenuation mucus in the left lower lobe (Picture 1, 2). In addition to Aspergillus fumiga...
متن کاملAllergic bronchopulmonary aspergillosis with coexistant aspergilloma: a case report
INTRODUCTION The coexistence of allergic bronchopulmonary aspergillosis and aspergilloma is rare. CASE PRESENTATION We present the case of a 56-year-old Caucasian man who worked as a farmer, with infiltrates in the right lower and middle lung lobes, partial consolidation of the middle lobe and with previous diagnosis of chronic obstructive bronchitis. Evaluation of our patient led to the diag...
متن کاملCoexistence of allergic bronchopulmonary aspergillosis and atopic dermatitis: is total IgE level useful to identify relapses of allergic bronchopulmonary aspergillosis?
3. Blazowski L. Anaphylactic shock because of sublingual immunotherapy overdose during third year of maintenance dose. Allergy. 2008;63:374. 4. de Groot H, Bijl A. Anaphylactic reaction after the first dose of sublingual immuno-therapy with grass pollen tablet. Allergy. 2009;64:963--4. 5. Dunsky EH, Goldstein MF, Dvorin DJ, Belecanech GA. Anaphylaxis to sublingual immunotherapy. Allergy. 2006;6...
متن کاملMiddle lobe syndrome: a rare presentation of allergic bronchopulmonary aspergillosis.
Allergic bronchopulmonary aspergillosis (ABPA) is a disease predominantly seen in susceptible asthmatic subjects, due to a hypersensitivity phenomenon caused by colonisation of the airways by Aspergillus species. Although collapse, both lobar and segmental due to mucoid impaction, is not uncommon in ABPA, a middle lobe syndrome (MLS) secondary to ABPA is rather an uncommon association. We repor...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Indian journal of immunology and respiratory medicine
سال: 2023
ISSN: ['2581-4222', '2581-4214', '2456-012X']
DOI: https://doi.org/10.18231/j.ijirm.2023.008