Eosinophilic Pleural Effusion Complicating Allergic Bronchopulmonary Aspergillosis

Austin N. Kirschner, Erica Kuhlmann, Tomasz J. Kuzniar
2011 Respiration  
this mold, all consistent with a diagnosis of ABPA. This novel and unique presentation of ABPA expands on the differential diagnosis of eosinophilic pleural effusions. A 25-year-old current smoker, electrician, with a history of well-controlled asthma not regularly using any medication, was sent to the hospital by his primary care provider for worsening cough, dyspnea on exertion, left-sided pleuritic chest pain and upper back pain, after failing antibiotic treatment for pneumonia diagnosed by
more » ... hest X-ray 2 weeks prior. He had no history of fever, hemoptysis, weight loss, recent travel, or eating raw seafood. Clinical examination on admission demonstrated dullness to percussion and decreased breath sounds at left lung base. Complete Abstract Allergic bronchopulmonary aspergillosis (ABPA) is primarily a disease of patients with cystic fibrosis or asthma, who typically present with bronchial obstruction, fever, malaise, and expectoration of mucus plugs. We report a case of a young man with a history of asthma who presented with cough, left-sided pleuritic chest pain and was found to have lobar atelectasis and an eosinophilic, empyematous pleural effusion. Bronchoscopy and sputum cultures grew Aspergillus fumigatus , and testing confirmed strong allergic response to
doi:10.1159/000323617 pmid:21311176 fatcat:lke5l43635ge5gxa74ruzwz2zu