Secondary spontaneous pneumothorax in a patient of allergic bronchopulmonary aspergillosis: an unusual presentation
DOI:
https://doi.org/10.18203/2320-6012.ijrms20211377Keywords:
Allergic bronchopulmonary aspergillosis, Aspergillus fumigates, High resolution computed tomography, Secondary spontaneous pneumothoraxAbstract
Allergic bronchopulmonary aspergillosis (ABPA) is a complex immunologic pulmonary disorder caused by hypersensitivity to fungus, Aspergillus fumigates. It clinically manifests with non-specific respiratory and systemic symptoms. ABPA is typically seen in patients with long-standing asthma or cystic fibrosis. Pleural involvement in ABPA is uncommon and secondary spontaneous pneumothorax is very rare. Herein, we report a case of 33 years old male patient presented with dyspnoea, low grade fever and productive cough. High Resolution Computed tomography (HRCT) scan of thorax was suggestive of ABPA with secondary pneumothorax.
References
Hinson KF, Moon AJ, Plummer NS. Bronchopulmonary aspergillosis. Thorax. 1952;7:317-33.
Jeong YJ, Kim KI, Seo IJ. Eosinophilic lung diseases: a clinical, radiologic, and pathologic overview. Radiographics. 2007;27:617-39.
Sehgal IS, Dhooria S, Behera D, Agarwal R. Allergic bronchopulmonary aspergillosis complicating Swyer-James-Macleod’s syndrome: case report and review of literature. Eur Ann Allergy Clin Immunol. 2016;48(3):99-102.
Gupta RK, Chandra A, Gautam PB. Allergic Bronchopulmonary Aspergillosis – A Clinical Review. JAPI. 2012;60
Patterson K, Strek M E. Allergic bronchopulmonary aspergillosis. Proc Am Thorac Soc. 2010;7: 237-244.
Madan K, Bal A and Agarwal R. Pleural Effusion in a Patient With Allergic Bronchopulmonary Aspergillosis. Respir Care 2012;57(9):1509-1513.
Agarwal R, Maskey D, Aggarwal AN, Saikia B, Garg M, Gupta D, et al. Diagnostic performance of various tests and criteria employed in allergic bronchopulmonary aspergillosis: A latent class analysis. PLoS One. 2013;8:e61105.
Kaur M and Sudan DS. Bronchopulmonary Aspergillosis (ABPA)-The High Resolution Computed Tomography (HRCT) Chest Imaging Scenario Journal of Clinical and Diagnostic Research. 2014;8(6):RC05-RC07.
Sahn SA, Heffner JE. Spontaneous pneumothorax. N Engl J Med. 2000;342:868.
Noppen M, De Keukeleire T. Pneumothorax. Respiration. 2008;76:121.
Ricketti AJ, Greenberger PA, Glassroth J. Spontaneous pneumothorax in allergic bronchopulmonary aspergillosis. Arch Intern Med. 1984;144(1):151-2.
Judson MA, Marshall C, Beale G, Holt JB. Pneumothorax and bronchopleural fistula during treatment of allergic bronchopulmonary aspergillosis. South Med J. 1993;86:1061-3.
Denning DW, Riniotis K, Dobrashian R. Chronic cavitary and fibrosing pulmonary and pleural aspergillosis: case series, proposed nomenclature change, and review. Clin Infect Dis. 2003;37:3:S265-S280.
Camuset J, Nunes H, Dombret MC. Treatment of chronic pulmonary aspergillosis by voriconazole in nonimmunocompromised patients. Chest. 2007;131: 1435-1441.
Smith NL and Denning DW. Underlying conditions in chronic pulmonary aspergillosis including simple aspergilloma. Eur Respir J. 2011;37:865-872.
Gupta PP, Fotedar S, Agarwal D, Magu S, Saini K. Pneumothorax: a rare presentation of pulmonary mycetoma. Ann Thorac Med. 2007;2(4):171-172.
Zhang W, Hu Y, Chen L, Gao J, Xie L. Pleural aspergillosis complicated by recurrent pneumothorax: a case report. J Med Case Reports. 2010;4:180.
Das A, Das SK, Basuthakur S. Right sided pneumothorax and right upper lobe collapse: Two unusual presentations of allergic bronchopulmonary aspergillosis. J Assoc Chest Physicians. 2014;2:71-4.
Patterson R, Greenberger PA, Radin RC, Roberts M. Allergic bronchopulmonary aspergillosis: staging as an aid to management. Ann Intern Med. 1982;96:286-91.
Greenberger PA, Patterson R. Diagnosis and management of allergic bronchopulmonary aspergillosis. Ann Allergy. 1986;56:444-8.
Agarwal R, Khan A, Garg M, Aggarwal AN, Gupta D. Pictorial essay: Allergic bronchopulmonary aspergillosis. Indian Journal of Radiology and Imaging. 2011;(4) :242-52.
Panchal N, Pant CS, Bhagat R, Shah A. Central bronchiectasis in allergic bronchopulmonary aspergillosis: comparative evaluation of computed tomography of the thorax with bronchography. Eur Respir J. 1994;7:1290-3.
Bedi R.S. Allergic Bronchopulmonary Aspergillosis: Indian Perspective. Indian J Chest Dis Allied Sci. 2009;51:73-74.