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Article in Japanese
Abstract
Case Report
A case of allergic bronchopulmonary aspergillosis complicated by pulmonary Mycobacterium intracellulare disease
Hideto Oshita Misato Senoo Asami Inoue Yuka Sano Koji Yoshioka Yasuhiko Ikegami
Department of Respiratory Internal Medicine, Federation of National Public Service and Affiliated Personnel Mutual Aid Associations, Yoshijima Hospital
ABSTRACT
A 77-year-old woman had had centrilobular granular shadows on both lungs about 8 years ago. She had a worsening productive cough for a month and consolidation in the upper lobe of the right lung was revealed. A mucoid plug containing Aspergillus was confirmed by bronchoscopic examination, and allergic bronchopulmonary aspergillosis (ABPA) was diagnosed. Mycobacterium intracellulare was identified in bronchoalveolar lavage fluid from the middle lobe of the right lung. Allergic bronchopulmonary mycosis and pulmonary nontuberculous mycobacteriosis may co-exist when airway clearance is impaired. Cases of both diseases combined should be treated with caution.
KEYWORDS
Nontuberculous mycobacteriosis Pulmonary Mycobacterium avium complex infection Allergic bronchopulmonary aspergillosis (ABPA)
Received 15 Feb 2022 ／ Accepted 10 May 2022
AJRS, 11(4): 202-206, 2022
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