In predisposed patients, allergic bronchopulmonary aspergillosis ABPA can arise from aspergillus bronchial colonization. We report the case of a young woman who presented with a right basal pneumonia, ground glass opacities and mediastinal adenopathies on CT scan. Biological, radiological and clinical criteria, as well as an history of childhood asthma, allowed the initial diagnosis of ABPA. However, the unusual coexistence of an additional infection with Pseudomonas Aeruginosa evoked the diagnosis of cystic fibrosis, confirmed by a sweat test and genetic analysis.
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Treatment involves systemic corticosteroids and itraconazole. Several studies suggest a beneficial role for omalizumab, but only placebo-controlled studies will clarify its indication in ABPA. Journal page Archives Contents list. Article Article Outline. Access to the text HTML. Access to the PDF text. Recommend this article. Save as favorites. Access to the full text of this article requires a subscription. If you are a subscriber, please sign in 'My Account' at the top right of the screen.
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