Aspergillosis: from Allergic Bronchopulmonary Aspergillosis to Invasive Aspergillos

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Tarih

2021

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Cilt Başlığı

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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

Künye