Longstanding allergic bronchopulmonary aspergillosis

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Patient BM. This man of 62 years was an asthmatic as a child. Asthma recurred with his first episode of allergic bronchopulmonary aspergillosis in 1972, initially misdiagnosed as a pneumonia. He also suffered fungal infections of his toe nails and skin. He was maintained initially on systemic and then inhaled steroids. On top of the inhaled steroids he required systemic steroids for exacerbations four to five times a year. In later 2000 he was started on itraconazole. This led to a considerable improvement initially but then he discontinued therapy after some months. Continuous therapy started in December 2003 led to sustained improvement with very few exacerbations. Images- CT scans Keywords: Acute, invasive, skin, Aspergillus fumigatus.


  • Aspergillus fumigatus