2021, Number 1
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Med Int Mex 2021; 37 (1)
Allergic bronchopulmonary aspergillosis
Collado-Chagoya R, Hernández-Romero J, Cruz-Pantoja R, Velasco-Medina A, Velázquez-Samano G, Castillo-Castillo D, Rosales-Pérez J
Language: Spanish
References: 24
Page: 144-151
PDF size: 490.12 Kb.
ABSTRACT
Background: Allergic bronchopulmonary aspergillosis is a disease resulting
from a hypersensitivity reaction to the Aspergillus fungus by invading the airway. It
is characterized clinically by dyspnea, wheezing, fever, malaise and brown or black
expectoration, and by poor clinical response to the usual treatment prescribed to treat
exacerbations in patients with chronic lung disease. Aspergillosis is considered the
fourth most important fungal disease in Mexico; however, its role in asthmatic patients
in our country is unknown.
Clinical case: A 60-year-old female patient, a health worker, with asthma of difficult
control and a severe asthma attack; the diagnosis of allergic bronchopulmonary
aspergillosis and its subsequent treatment were demonstrated.
Conclusions: Allergic bronchopulmonary aspergillosis is a disease difficult to
diagnose in atopic, immunosuppressed or cystic fibrosis patients that all physicians
treating patients who do not respond to standard treatment should suspect.
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