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Article in Japanese
Abstract
Case Report
A case of allergic bronchopulmonary mycosis with mediastinal lymphadenopathy triggered by inhalation of dust
Hideto Oshita Misato Ogata Asami Inoue Yuka Sano Koji Yoshioka Yasuhiko Ikegami
Department of Respiratory Medicine, Federation of National Public Service and Affiliated Personnel Mutual Aid Associations, Yoshijima Hospital
ABSTRACT
While a 41-year-old man was working on the renovation of an old building, he became aware of dust inhalation. He developed chest pain and productive cough, and his chest CT showed multiple consolidations and mediastinal lymphadenopathy. Allergic bronchopulmonary mycosis (ABPM) was diagnosed based on high peripheral blood eosinophil count, high total IgE, and mucus plugging containing eosinophils and filamentous fungi. Treatment with steroids and antifungal medication improved all clinical findings. Since it was thought that inhalation of dust had triggered the onset of ABPM, he was instructed to wear an anti-dust mask during work. ABPM with lymphadenopathy requires differentiation from tuberculosis, lung cancer, and sarcoido
KEYWORDS
Allergic bronchopulmonary mycosis (ABPM) Allergic bronchopulmonary aspergillosis (ABPA) Occupational exposure Mediastinal lymphadenopathy
Received 19 Jul 2022 ／ Accepted 26 Sep 2022
AJRS, 12(1): 38-43, 2023
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