[Pulmonary aspergillosis].
We report a 15-year-old male with bronchial asthma since five years old, unresponsive to treatment; at age 12 a diagnosis of pulmonary tuberculosis was made and treated with several drugs. He was referred to our hospital because of hemoptysis. A diagnosis of aspergillosis in the aspergilloma form was made; after, a left upper lobectomy showed the invasive form; later he presented recurrent obstructive respiratory problems, secondary to the allergic form. Serum IgE was elevated, lowering after treatment with corticoids; simultaneously he had clinical improvement. Treatment was discontinued when clinically asymptomatic and serum IgE was normal. Diagnostic route and treatment are discussed.
Castañeda-Ramos
S A
SA
Aguilar-Benavides
S
S
Ramos-Solano
F
F
Arenas-Aréchiga
P
P
Garzón-de la Mora
M A
MA
D000293:Adolescent; D001229:Aspergillosis, Allergic Bronchopulmonary / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology* / Q000628:therapy; D006801:Humans; D008297:Male; D011859:Radiography
Aspergilosis pulmonar.