title: [A case of pulmonary aspergilloma concomitant with allergic bronchopulmonary aspergillosis].
abstract: A 69-year-old man with pulmonary aspergilloma was admitted to the hospital because of persistent cough and slight fever. Antifungal agents were administered on a diagnosis of chronic necrotizing pulmonary aspergillosis or symptomatic aspergilloma. Despite the antifungal treatment, wheezing developed, suggesting a complication of allergic bronchopulmonary aspergillosis (ABPA). Finally, a definitive diagnosis of ABPA was made using the Rosenberg-Patterson criteria. Inhaled corticosteroid therapy reduced his wheezing. This case study indicates that there is a possibility that aspergilloma might coexist with ABPA. Therefore, we should pay attention to the possible complication of ABPA when treating pulmonary aspergilloma.
authors.affiliation: Division of Allergology and Respiratory Medicine, Department of Internal Medicine, Showa University.
authors.forename: Sojiro
authors.initials: S
authors.lastname: Kusumoto
authors.forename: Akihiko
authors.initials: A
authors.lastname: Tanaka
authors.forename: Shin
authors.initials: S
authors.lastname: Ohta
authors.forename: Tomohide
authors.initials: T
authors.lastname: Sugiyama
authors.forename: Takao
authors.initials: T
authors.lastname: Shirai
authors.forename: Toshimitsu
authors.initials: T
authors.lastname: Yamaoka
authors.forename: Kentaro
authors.initials: K
authors.lastname: Okuda
authors.forename: Takashi
authors.initials: T
authors.lastname: Hirose
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Ohnishi
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Adachi
mesh_terms: D000368:Aged; D001229:Aspergillosis, Allergic Bronchopulmonary / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D055732:Pulmonary Aspergillosis / Q000150:complications*