Allergic bronchopulmonary aspergillosis and the importance of diagnostic tests

Radiographic findings of allergic bronchopulmonary aspergillosis. Photo: case report.

This is a case of a healthy 22-year-old male who was not diagnosed or treated for allergic bronchopulmonary aspergillosis due to lack of asthma in history, in whom delay in diagnosis and initiation of treatment would have adverse health consequences. Structural lung injury and permanent loss of lung function, as seen in this case.

This reflects the need for more sensitive diagnostic tests to prevent progression to irreversible lung injury. Here we report on a 22-year-old Puerto Rican man who had not been diagnosed with allergic bronchopulmonary aspergillosis for 12 months due to a lack of A history of asthma or cystic fibrosis.

Symptoms occurred acutely, with no identifiable deposition factors. The medical history prior to the development of his symptoms was unremarkable. Negative family history of lung disease or similar symptoms at home. During this time period, he required seven hospital admissions for suspected recurrent mycoplasma pneumonia.

During the physical examination, the patient noted bilateral polyphonic wheezing in the lung fields. a Spirometry showed severe obstruction From the respiratory system, it is highlighted in the case.

During the care process, treatment was initiated with oral prednisone 30 mg (0.5 mg/kg) daily for 2 weeks with the goal of alternating treatment days for 2 months followed by prednisone 5 mg daily decreasing every 2 weeks, plus corticosteroids. inhale it and Albuterol Rescue Relief accompanied by symptoms.

The significance of the case concludes that a good prognosis of adequately treated bronchopulmonary aspergillosis indicates that it is advisable to Doctors are very suspicious Illness is when a patient develops difficult-to-treat asthma, drug-resistant pneumonia, or tuberculosis, regardless of age or previous medical history.

Allergic bronchopulmonary aspergillosis

Allergic bronchopulmonary aspergillosis (ABPA) is a localized inflammatory disease of the airways in patients who are sensitive to Aspergillus fumigatus (A. fumigatus) antigens. The disease presents with a productive cough, wheezing, and occasional fever, as well as central bronchiectasis (CB) and mucus obstruction on computed tomography (CT). If treated properly, symptoms and lung damage caused by ABPA can be reversed.

The diagnostic criteria for ABPA currently require a diagnosis of predisposing lung diseases such as asthma and cystic fibrosis (CF) in order to establish a diagnosis. There have been an increasing number of cases reporting ABPA without evidence of a history or symptoms of asthma.

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