title: Miliary nodules in a patient of allergic bronchopulmonary aspergilosis.
abstract: Allergic bronchopulmonary aspergilosis (ABPA) is immunological pulmonary disease caused by hypersensitivity of aspergillus fumigatus usually occurs in patients with chronic asthma, cystic fibrosis and bronchiactasis. This disease may present with divers radiological presentation like; fleeting pulmonary opacities, bronchiactasis, mucoid impaction, perihilar opacity (hailer lymphadenopathy), and lung mass or pleural effusion. We describe the case of a 30 year old housewife who presented with progressive dysponea, low grade fever, dry cough, weight loss and miliary nodule in chest radiograph and high-resolution CT (HRCT) in a tertiary level hospital of Bangladesh. A diagnosis of ABPA was established on the basis of sputum routine microscopy and culture examination for fungus (Aspergillus).
authors.affiliation: Dr Md Nur-A-Alom Khan, Associate Professor, Department of Medicine, Mymensingh Medical College (MMC), Mymensingh, Bangladesh.
authors.forename: N A
authors.initials: NA
authors.lastname: Khan
authors.forename: S M
authors.initials: SM
authors.lastname: Sumon
authors.forename: A
authors.initials: A
authors.lastname: Rahman
authors.forename: M A
authors.initials: MA
authors.lastname: Hossain
authors.forename: J
authors.initials: J
authors.lastname: Ferdous
authors.forename: M R
authors.initials: MR
authors.lastname: Bari
mesh_terms: D000328:Adult; D001229:Aspergillosis, Allergic Bronchopulmonary / Q000175:diagnosis* / Q000628:therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D014391:Tuberculosis, Miliary / Q000175:diagnosis*