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Laparoscopic Endoscopic Surgical Science Tekrarlayan Pnmoni Olarak Yanl Tan Konan ABPA Olgusunda Deien Pulmoner nfiltratlar: Olgu Sunumu ve Literatrn Gzden Geirilmesi [Respir Case Rep]
Respir Case Rep. 2018; 7(3): 134-139 | DOI: 10.5505/respircase.2018.20082

Tekrarlayan Pnmoni Olarak Yanl Tan Konan ABPA Olgusunda Deien Pulmoner nfiltratlar: Olgu Sunumu ve Literatrn Gzden Geirilmesi

Shital PATIL1, Gajanan Gondhali1

Pnmoni, Hindistan gibi tropikal lkelerde en sk grlen solunumsal problemdir. Allerjik bronkopulmoner aspergillozis (ABPA), pnmoni ve tberkloz gibi solunumsal hastalklar ile klinik ve radyolojik olarak kartrld iin genellikle tanda ve incelemelerde atlanmaktadr. ABPA, uzun sreli atopik astmal hastalarda Aspergillus antijenine ar duyarllk ile karakterize, aspergillus mantarna ait en iyi tanmlanm bir tablodur. ABPAnn hastaneye yatrlan astmatik hastalarn %20sinde ve tm rinit olgularnn %5inde eitli klinik tablolarla ortaya kt bildirilmitir. Burada, ksrk, ate, nefes darl gibi yaknmalar ile tekrarlayan pnmoni tans ile tedavi edilen, birka yldr astm olduu bilinen orta yal erkek olgu sunulmutur. Bu olguda, sonuta ABPA olarak tan konmu ve sistemik steroid ve antifungal tedavi ile tam klinik ve radyolojik iyileme salanmtr.

Anahtar Kelimeler: ABPA, tekrarlayan pnmoni, pulmoner infiltrat

Changing Pulmonary Infiltrates in ABPA Misdiagnosed as Recurrent Pneumonia: A Case Report and Review of the Literature

Shital PATIL, Gajanan Gondhali
MIMSR MEDICAL COLLEGE LATUR INDIA

Pneumonia is the most common respiratory problem in tropical countries like India. Allergic bronchopulmonary aspergillosis (ABPA) is routinely underdiagnosed and under evaluated as a result of clinical and radiological overlap with many other respiratory conditions, including pneumonia and tuberculosis. ABPA is the best-recognized manifestation of the fungus Aspergillus, associated with hypersensitivity to Aspergillus antigens in patients with longstanding atopic asthma. ABPA has been reported to occur in 20% of asthmatic patients admitted to hospitals and in 5% of all rhinitis cases, with varied clinical presentations. This report is a description of the case of a middle-aged male with known asthma for several years and constitutional symptoms, such as a cough, fever, and shortness of breath, who was diagnosed and treated for recurrent pneumonia. The case was eventually confirmed as ABPA, and a complete clinical and radiological response to medical treatment with antifungals and systemic corticosteroids was documented.

Keywords: ABPA, Recurrent pneumonia, fleeting pulmonary infiltrates

Shital PATIL, Gajanan Gondhali. Changing Pulmonary Infiltrates in ABPA Misdiagnosed as Recurrent Pneumonia: A Case Report and Review of the Literature. Respir Case Rep. 2018; 7(3): 134-139

Sorumlu Yazar: Shital PATIL, India
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