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Abstract

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Article in Japanese

Case Report

A case of allergic bronchopulmonary aspergillosis presenting with acute respiratory failure due to total collapse of the left lung

Hiroyuki Honda  Ryo Sato  Chikako Kitamura  Ayuka Shinozaki  Yuta Sudo 

Department of Respiratory Medicine, Japanese Red Cross Asahikawa Hospital

ABSTRACT

A 76-year-old man presented to the emergency department complaining of dyspnea. During examination, total collapse of the left lung occurred, causing acute respiratory failure. Bronchoscopy was performed under general anesthesia, and allergic bronchopulmonary aspergillosis (ABPA) was diagnosed. Overall, six ABPA cases of total lung collapse on one side have been reported to date. The patient in our case presented with more rapid and severe respiratory failure compared to previous reports. None of the patients in the seven cases, including our case, were diagnosed with ABPA before the occurrence of atelectasis. It is important to recognize that ABPA is a disease that can develop suddenly, sometimes accompanied by fatal acute respiratory failure.

KEYWORDS

Acute respiratory failure  Allergic bronchopulmonary aspergillosis (ABPA)  Atelectasis 

Received 21 Feb 2022 / Accepted 6 Jul 2022

AJRS, 11(5): 280-285, 2022

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