RESUMEN

We report a 15-year-old male with bronchial asthma since five years old, unresponsive to treatment; at age 12 a diagnosis of pulmonary tuberculosis was made and treated with several drugs. He was referred to our hospital because of hemoptysis. A diagnosis of aspergillosis in the aspergilloma form was made; after, a left upper lobectomy showed the invasive form; later he presented recurrent obstructive respiratory problems, secondary to the allergic form. Serum IgE was elevated, lowering after treatment with corticoids; simultaneously he had clinical improvement. Treatment was discontinued when clinically asymptomatic and serum IgE was normal. Diagnostic route and treatment are discussed.

Asunto(s)

Aspergilosis Broncopulmonar Alérgica/fisiopatología , Adolescente , Aspergilosis Broncopulmonar Alérgica/diagnóstico por imagen , Aspergilosis Broncopulmonar Alérgica/patología , Aspergilosis Broncopulmonar Alérgica/terapia , Humanos , Masculino , Radiografía