What is it about?
Allergic Bronchopulmonary Aspergillosis (ABPA) can be diagnosed in an asthmatic with suitable radiologic and immunological features. However ABPA is likely to be misdiagnosed with bacterial pneumonia. Here we report a case of ABPA masquerading as recurrent bacterial pneumonia. Treatment with high-dose inhaled corticosteroids was effective. To our best knowledge, this is the first reported case of ABPA in Vietnam.
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Why is it important?
Learning points: - Suspecting a diagnosis of ABPA when the patient presented as recurrent pneumonia with fleeting pulmonary opacities on chest radiograph and blood eosinophilia. - The management of ABPA with high inhaled corticosteroid should be considered in ABPA patients with high risk of systemic corticosteroid.
Perspectives
I collected data and wrote the manuscript of this article. All authors have contributed to its content.
Mr Lam Nguyen Ho
Ho Chi Minh City University of Medicine and Pharmacy
Read the Original
This page is a summary of: Allergic Bronchopulmonary Aspergillosis masquerading as recurrent bacterial pneumonia, Medical Mycology Case Reports, June 2016, Elsevier,
DOI: 10.1016/j.mmcr.2016.06.004.
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