A case report of Aspergillus hypersensitivity syndrome with obstructing bronchial aspergillosis.
Ann Acad Med Singap
; 29(2): 246-8, 2000 Mar.
Article
en En
| MEDLINE
| ID: mdl-10895348
INTRODUCTION: A 62-year-old Indian male with diabetes mellitus presented with atypical, overlap features of Aspergillus hypersensitivity syndrome and obstructing bronchial aspergillosis. CLINICAL PICTURE: He was febrile and tachypnoeic with diffuse crepitations and wheezing. Chest X-ray was normal but eosinophil count was 2900/mm3 and Ig E > 10,000 IU/ml. TREATMENT AND OUTCOME: He responded initially to high dose steroid therapy but deteriorated subsequently from extensive mucus plugging of the bronchial tree which resulted in respiratory failure and death. He was HIV-negative. CONCLUSION: Culture and histologic examination of bronchoscopically identified tracheobronchial mucus plugs should be performed as early treatment may be life-saving.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Aspergilosis Broncopulmonar Alérgica
/
Obstrucción de las Vías Aéreas
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Ann Acad Med Singap
Año:
2000
Tipo del documento:
Article
País de afiliación:
Singapur
Pais de publicación:
Singapur