[Allergic bronchopulmonary aspergillosis with low serum IgE: a case report].
Zhonghua Jie He He Hu Xi Za Zhi
; 47(7): 654-657, 2024 Jul 12.
Article
en Zh
| MEDLINE
| ID: mdl-38955751
ABSTRACT
Here, we reported a case of delayed diagnosis of allergic bronchopulmonary aspergillosis (ABPA) with low serum IgE and normal Aspergillus fumigatus-specific IgE levels. During the course of the disease, the patient (female, 55 years old) had imaging manifestation of mass shadow and significant elevation of carcinoembryonic antigen, leading to suspicion of a lung tumor. Later, transbronchial lung biopsy tissue culture showed Aspergillus fumigatus. Combined with the history, clinical characteristics and imaging, she was diagnosed with allergic bronchopulmonary aspergillosis combined with invasive pulmonary aspergillosis. As the diagnostic criteria for ABPA do not cover all patients with ABPA, in rare cases where immunological evidence is insufficient, a combination of clinical and imaging features is required for early diagnosis and treatment.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Aspergilosis Broncopulmonar Alérgica
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Aspergillus fumigatus
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Inmunoglobulina E
Límite:
Female
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Humans
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Middle aged
Idioma:
Zh
Revista:
Zhonghua Jie He He Hu Xi Za Zhi
Año:
2024
Tipo del documento:
Article
País de afiliación:
China