A CASE OF ALLERGIC BRONCHO PULMONARY ASPERGILLOSIS, MIMICKING TUBERCULOSIS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 10
Abstract
PRESENTATION OF CASE Aspergillus, a ubiquitous fungus, causes a wide spectrum of illnesses, ranging from asthma to more lethal invasive aspergillosis. Usual route of entry is via inhalation. More than hundred and fifty species are identified. And of these Aspergillus fumigatus is responsible for more than ninetyfive percent of aspergillus related illnesses. Allergic bronchopulmonary aspergillosis (ABPA) is the1 best recognized clinical entity and was first reported in 1982. ABPA is commonly seen in patients with asthma and cystic fibrosis. ABPA frequently masquerades as pulmonary tuberculosis. Patients usually come with fever, haemoptysis, expectoration of brownish mucus plugs, and wheezing. Thirty percent of patients present with heamoptysis.2 A 21-year-old female brought to the emergency room with complaints of cough, haemoptysis, breathlessness, on and off fever for fourteen days. She gave the history of episodic wheezing, breathlessness, for the last eleven years; and she had required hospital admissions with these symptoms on several occasions. She had been taking regular inhaler medications.
Authors and Affiliations
Abdul Sathar Ariyal Abdul Rahiman, Remya Reveendran
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