The Journal of the Japan Society for Respiratory Endoscopy
Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137
A Case of Allergic Bronchopulmonary Aspergillosis Caused by Aspergillus Terreus
Masaki OkamotoTetsuro InoueKiminobu TanizawaMinoru SakuramotoMasayoshi MinakuchiYuji MaedaAtsushi ManiwaTomoshi TakedaYoshio Taguchi
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2007 Volume 29 Issue 1 Pages 41-45

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Abstract

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)

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© 2007 The Japan Society for Respiratory Endoscopy
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