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Case Reports
. 2024 Aug 6;16(8):e66252.
doi: 10.7759/cureus.66252. eCollection 2024 Aug.

Occupational Lung Disease Causing Allergic Bronchopulmonary Aspergillosis: A Case Report

E Ramya Shree  1 , Deepan Kumar T  1 , C H Naga Sekhar  1 , Krishnaswamy Madhavan  1 , J S Kumar  1
Affiliations
Case Reports

Occupational Lung Disease Causing Allergic Bronchopulmonary Aspergillosis: A Case Report

E Ramya Shree et al. Cureus. .

Abstract

Aspergillus fumigatus can induce allergic bronchopulmonary aspergillosis (ABPA), an immunological hypersensitivity reaction that frequently exacerbates the symptoms of cystic fibrosis and asthma patients. Due to persistent symptoms, a considerable percentage of patients with ABPA in India, a country where tuberculosis is widespread, are initially misdiagnosed as having pulmonary tuberculosis. We present a case of ABPA in a male industry worker, who was diagnosed after one year of having symptoms and has successfully recovered since.

Keywords: allergic bronchopulmonary aspergillosis (abpa); aspergillus fumigatus; cystic fibrosis; neutrophils; pulmonary tuberculosis.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Chest X-ray posteroanterior view showing heterogenous, interstitial opacities in the middle zone.
Figure 2
Figure 2. (a, b) CT of the chest showing minimal pneumonitis with fibrotic bronchiectatic strands on the lateral segment of the right middle lobe.
Figure 3
Figure 3. Chest X-ray posteroanterior view showing the increased right middle zone to lower zone haziness/consolidation compared to the previous chest X-ray (taken six months earlier).
Figure 4
Figure 4. Chest X-ray after treatment showing improvement with reduction in opacities.
See this image and copyright information in PMC

References

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