A case of allergic bronchopulmonary aspergillosis localized in one bronchial segment

Hisayuki Osoreda, Hideo Kobayashi, Hanna Nagao, Kei Mikita, Soitiro Kanoh, Kazuo Motoyoshi

Research output: Contribution to journalArticle

Abstract

A 64-year-old woman was admitted with a chest radiograph abnormality. She had no compliant and the results of her physical examination were normal. A chest radiograph showed a 25-mm area of patchy opacity in the left upper lung field. Chest CT demonstrated a finger-like opacity along the left B3a and c that was highly suggestive of mucoid impaction of the bronchi. Bronchofiberscopy revealed mucous plugs in left B3, in which the filariform fungul hyphae were detected by Grocott stain. Rosenberg's clinical criteria have been cited frequently for the diagnosis of allergic bronchopulmonary aspergillosis (ABPA). On the one hand his criteria have historical significance, but at the same time various problems have been pointed out. Although the patient was not given a diagnosis of ABPA based on Rosenberg's criteria, she was given it based on the presence of type I immunologic response, mucoid plugs, hyphae of Aspergillus, central bronchiectasis. She had localized opacity only along a segmental bronchus. Our report may provide valuable information on the course of ABPA.

Original languageEnglish
Pages (from-to)898-902
Number of pages5
JournalNihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society
Volume45
Issue number11
Publication statusPublished - 2007 Nov
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

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