Allergic bronchopulmonary aspergillosis with cavitary lesion simulating a lung abscess.
A 48-year-old female patient was diagnosed as a case of allergic bronchopulmonary aspergillosis (ABPA) on the basis of clinical, immunological and radiological criteria. In addition to central bronchiectasis, computed tomography (CT) of the thorax revealed hilar lymphadenopathy and cavitary lesions simulating a lung abscess, a presentation not described earlier. The patient responded to treatment with corticosteroids and the CT repeated after 14 months of treatment showed complete resolution of the cavitary lesions.
Chhabra
S K
SK
Department of Cardiorespiratory Physiology, Vallabhbhai Patel Chest Institute, University of Delhi, India. skchhabra@mailcity.com
Gupta
R K
RK
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D001229:Aspergillosis, Allergic Bronchopulmonary / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008169:Lung Abscess / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008875:Middle Aged; D013902:Radiography, Thoracic / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones