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A rare cause of acute respiratory failure--allergic bronchopulmonary aspergillosis.

Authors
Type
Published Article
Journal
Mycoses
1439-0507
Publisher
Wiley Blackwell (Blackwell Publishing)
Publication Date
Volume
54
Issue
4
Identifiers
DOI: 10.1111/j.1439-0507.2009.01830.x
PMID: 20028466
Source
Medline

Abstract

Allergic bronchopulmonary aspergillosis (ABPA) is a complex immune hypersensitivity reaction to Aspergillus fumigatus, usually complicating the course of patients with asthma and cystic fibrosis. The common radiological manifestations encountered are fleeting pulmonary opacities, bronchiectasis and mucoid impaction. Uncommon radiological findings encountered in ABPA include pulmonary masses, perihilar opacities simulating hilar adenopathy, miliary nodules and pleural effusions. Herein, we describe a 22-year-old female patient who presented with acute hypoxaemic respiratory failure secondary to left lung collapse, which necessitated rigid bronchoscopy for management. On further evaluation, she was diagnosed to have ABPA. This is the first documented report of ABPA presenting as acute hypoxaemic respiratory failure secondary to lung collapse.

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