Eosinophilic pleural effusion complicating allergic bronchopulmonary aspergillosis.

Kirschner AN, Kuhlmann E, Kuzniar TJ
Respiration. 2011 82 (5): 478-81

PMID: 21311176 · DOI:10.1159/000323617

Allergic bronchopulmonary aspergillosis (ABPA) is primarily a disease of patients with cystic fibrosis or asthma, who typically present with bronchial obstruction, fever, malaise, and expectoration of mucus plugs. We report a case of a young man with a history of asthma who presented with cough, left-sided pleuritic chest pain and was found to have lobar atelectasis and an eosinophilic, empyematous pleural effusion. Bronchoscopy and sputum cultures grew Aspergillus fumigatus, and testing confirmed strong allergic response to this mold, all consistent with a diagnosis of ABPA. This novel and unique presentation of ABPA expands on the differential diagnosis of eosinophilic pleural effusions.

Copyright © 2011 S. Karger AG, Basel.

MeSH Terms (13)

Adult Anti-Inflammatory Agents Aspergillosis, Allergic Bronchopulmonary Aspergillus fumigatus Asthma Eosinophils Humans Male Pleural Effusion Prednisolone Radiography, Thoracic Sputum Tomography, X-Ray Computed

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