title: Human Immunodeficiency Virus and Allergic Bronchopulmonary Aspergillosis: Case Report and Review of Literature.
abstract: Allergic bronchopulmonary aspergillosis (ABPA) results from a hypersensitivity response to airways colonization with Aspergillus fumigatus, and it occurs most often in individuals with asthma or cystic fibrosis. Allergic bronchopulmonary aspergillosis is an indolent, but potentially progressive, disease in patients. In patients infected with human immunodeficiency virus (HIV), ABPA is rare, and its description in the literature is limited to case reports. We describe the occurrence of ABPA in a 37-year-old woman with well controlled HIV infection. This represents the first documented case of ABPA in an HIV-infected patient whose only pulmonary comorbidity included the ramifications of prior acute respiratory distress syndrome due to Pneumocystis jirovecii pneumonia. We also review prior case reports of ABPA in HIV-infected patients and consider risk factors for its development.
authors.affiliation: Critical Care Medicine , National Institutes of Health , Bethesda.
authors.forename: Panagis
authors.initials: P
authors.lastname: Galiatsatos
authors.affiliation: Divisions of Infectious Diseases.
authors.forename: Michael T
authors.initials: MT
authors.lastname: Melia
authors.affiliation: Pulmonary and Critical Care Medicine , Johns Hopkins Medicine , Baltimore, Maryland.
authors.forename: Leann L
authors.initials: LL
authors.lastname: Silhan
keywords: HIV infection; allergic bronchopulmonary aspergillosis; bronchiectasis