Eosinophilic Pleural Effusion Complicating Allergic Bronchopulmonary Aspergillosis

被引：9

作者：

Kirschner, Austin N. ^{[2
]}

Kuhlmann, Erica ^{[2
]}

Kuzniar, Tomasz J. ^{[1
]}

机构：

[1] NorthShore Univ HealthSyst, Div Pulm & Crit Care Med, Evanston, IL 60201 USA

[2] NorthShore Univ HealthSyst, Dept Med, Evanston, IL 60201 USA

来源：

RESPIRATION | 2011年 / 82卷 / 05期

关键词：

Pleural effusion; Allergic bronchopulmonary aspergillosis; Empyema; ITRACONAZOLE;

D O I：

10.1159/000323617

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

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 (C) 2011 S. Karger AG, Basel

引用

页码：478 / 481

页数：4