2007 Volume 29 Issue 1 Pages 41-45
Background. Allergic bronchopulmonary aspergillosis by (ABPA) is a hypersensitivity disorder caused by Aspergillus, and Aspergillus fumigatus is the major cause of ABPA. Case. A 76-year-old woman was admitted to our hospital with cough and exertional dyspnea. Chest X-ray film and computed tomography revealed bilateral infiltrative shadow accompanied by peripheral fine nodular opacities. This patient also had peripheral eosinophilia, increased serum levels of IgE-RAST against Aspergillus fumigatus, a positive immediate skin reaction against Aspergillus fumigatus, and a positive test for antibodies against Aspergillus fumigatus. Bronchofiberscopy demonstrated mucoid impaction. Since Aspergillus terreus was observed from a plug extracted by bronchofiberscopy and from sputum, ABPA caused by Aspergillus terreus was suspected. Mycobacterium avium-intracellulare complex was also detected from a plug extracted by bronchofiberscopy and from sputum. Administration of oral and inhalational corticosteroid, (3-stimulator, and oral itraconazole induced improvement of symptoms and the abnormal laboratory findings. Conclusion. We reported a case of ABPA caused by Aspergillus terreus.(JJSRE. 2007;29:41-45)