A case of allergic bronchopulmonary aspergillosis.

概要

論文の詳細を見る
We report a case of allergic bronchopulmonary aspergillosis (ABPA). He had a history of bronchial asthma for about forty years, and he had been treated at other hospital with a diagnosis of pneumonia for one year. When he was referred to our hospital in July 1987, his chest roentogenogram showed infiltration in the right middle and lower lung fields. Bronchoscopy showed edematous stenosis of the middle lobe bronchus. Clinically, he was diagnosed as pulmonary tuberculosis with bronchial asthma, so he was treated with antituberculous drugs. After four months, his chest roentogenographic findings improved. After antituberculous drugs therapy, in April 1988, his chest roentogenogram showed consolidation in the right upper lung field. Bronchoscopy showed edematous stenosis of the upper bronchus, and after antibacterial drugs therapy, his condition improved. In October 1990, when he complained of cough and sputum, his chest roentogenogram showed infiltration in the right middle lung field, and his data showed eosinophilia and high IgE. Aspergillus fumigatus was detected from bronchial lavage. The diagnosis of ABPA was made, but we thought it was difficult to diagnose this case as ABPA only on roentogenographic findings.
一般社団法人国立医療学会の論文