Journal List > Tuberc Respir Dis > v.56(3) > 1062328

TOOLS
Ryu, Baik, Kim, Kim, Eom, and Cho: Allergic Bronchopulmonary Aspergillosis Associated with Aspergilloma
Case Report

Tuberculosis and Respiratory Diseases 2004; 56(3): 302-307.

Published online: 31 March 2004

DOI: https://doi.org/10.4046/trd.2004.56.3.302

Allergic Bronchopulmonary Aspergillosis Associated with Aspergilloma

Jeon-Su Ryu, M.D., Jae-Joong Baik, M.D., Do-Kyun Kim, M.D., Young-Jin Kim, M.D., Woo-Seob Eom, M.D., Jea-Hyun Cho, M.D.

Department of Internal Medicine, National Medical Center, Korea.

Address for correspondence: Jeon-Su Ryu, M.D. Department of Internal Medicine, National Medical Center 18-79 Ulji-ro 6 ga Joong-gu, Seoul, 100-196, Korea. Phone: 02-2260-7270, Fax: 02-2269-7036, typist@hanmail.net

Copyright©2004. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.

Abstract

Aspergilloma and Allergic Bronchopulmonary Aspergillosis(ABPA) are different types of the pulmonary aspergillosis spectrum of diseases. ABPA is an inflammatory disease that causes hypersensitivity to Aspergillus spores growing in the bronchi, which is characterized by asthma, recurrent pulmonary infiltrations or mucoid impaction, eosinophilia and central bronchiectasis. Aspergilloma is a simple colonization of fungus within a cavitary lung lesion, but these diseases rarely coexist.
A case of ABPA, coexistent with Aspergilloma, was experienced in a 31 year-old female.
The diagnosis was confirmed by the immediate cutaneous reactivity to Aspergillus fumigatus, elevated total IgE antibodies, peripheral eosinophilia, bronchiectasis, growth of Aspergillus species in a sputum culture and radiographic infiltration. Treatment, with prednisone and itraconazole, led to improvement of the respiratory symptoms, reduction of the cavitary lesion and in the total serum IgE level.

Keywords: Allergic bronchopulmonary aspergillosis, Aspergilloma

TOOLS
Similar articles