A CASE OF ALLERGIC BRONCHOPULMONARY ASPERGILLOSIS WITHOUT A HISTORY OF BRONCHIAL ASTHMA

• Published in: Journal of The Showa Medical Association Vol. 58; no. 1; pp. 83 - 87
• Main Authors: MARUYAMA, Shigeru, OZAWA, Tetsuzi, HATANO, Yoshimi, MIZUNO, Masao, OKADA, Tetsurou, KOKUBU, Fumio, ADACHI, Mituru, YANASE, Kenji, NAKAMURA, Mikae, WAKAHARA, Kenji, TSUNAMI, Akira
• Format: Journal Article
• Language: Japanese
• Published: The Showa University Society 1998
• Subjects: allergic bronchopulmonary aspergillosis; bronchial asthma
• ISSN: 0037-4342; 2185-0976
• DOI: 10.14930/jsma1939.58.83

A 57-year-old man was admitted to our hospital because of dry cough, dyspnea, slight fever and abnormal shadows in both lung fields on X-ray films. He had no history of bronchial asthma or other allergic diseases. Eosinophil counts and IgE (radioimmunosorbent test) were increased on admission. Skin test and IgE (radioallergosorbent test) were positive for Aspergillus antigen. Chest computed tomography showed central bronchiectasis and mucoid impaction. Aspergillus fumigates was detected in bronchoalveolar lavage fluid. The patient had expectorated brown plugs about 2 months before admission. Allergic bronchopulmonary aspergillosis was diagnosed clinically. Prednisolone, 30 mg/day was administered. These symptoms improved after several weeks of treatment with prednisolone therapy. This was a case of allergic bronchopulmonary aspergillosis without a history of bronchial asthma.