Aspergillosis: from Allergic Bronchopulmonary Aspergillosis to Invasive Aspergillos
Küçük Resim Yok
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Allergic Bronchopulmonary Aspergillosis (ABPA) is a complex hypersensitivity reaction that develops in response to the colonization of the airways with As- pergillus fumigates. Aspergillus species are found in many places in nature, and while the inhalation of infectious conidia is a common occurrence, tissue invasion is rare, occurring most frequently in patients undergoing immunosuppressive therapy for hemato- logical malignancy or solid organ transplantation. A 58-year-old male patient presented with dyspnea, cough and hemoptysis that had started 1 week earlier. The patient had been started on oral corticosteroid and itracanazole treatment following a diagnosis of ABPA 11 months previously. Computed tomography and laboratory findings were evaluated as invasive aspergillosis. Aspergillus fumigatus was identified in bronchial aspiration, and intravenous voriconasole was started. The patient’s general condition worsened during follow-up and was transferred to intensive care, but died on the 3rd day of ICU hospitalization. Sys- temic corticosteroids applied for the treatment of many diseases should be used with caution due to their immunosuppressive properties, and the use of systemic corticosteroids in the treatment of ABPA must be carefully managed
Açıklama
Anahtar Kelimeler
Kaynak
Respiratory Case Reports
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
2