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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 14, Issue 3, April 2015 pp 554-558
ABPA with unusual presentation
Hafiz Deshmukh1*, Raghavendra Reddy P2, Sandeep Dandin2, Ashish Deshmukh3, Sunil Jadhav4, Shiv Prasad Kasat5
1,5Associate Professor, 2Resident, 3Professor and HOD, 4Assistant Professor, Department of Pulmonary Medicine, Mahatma Gandhi Mission’s Medical College Aurangabad Maharashtra INDIA.
Case 1: A 51 year old female K/C/O Bronchial asthma with allergic rhinosinusites on inhale corticosteroids and bronchodilators since 1998 was on oral steroids and antihistaminics during acute exacerbations. She was diagnosed as PTB on radiological bases in 2006 and was put on ATT for 16 months and declared cured. later on in 2011 she was again started on ATT as a case of relapse CT showing mediastinal adenopathy with parenchymal infiltrates. She presented to us in 2012, thorough investigations were performed total IgE and IgE to Aspergillus Fumigatus were elevated which was suggestive of ABPA. Case 2: A 31 year old male non smoker H/o allergic rhinitis and shortness of breath since child hood. H/o recurrent LRTI since 3 years and was treated with various antibiotics, Hetrazan, oral/inhaled corticosteroids and bronchodilators. He presented to us with symptoms of Exacerbation of bronchial asthma. He was thoroughly investigated Total IgE and IgE to Aspergillus Fumigatus were markedly elevated which s/o ABPA. Case 3: A 13 year old male H/o Breathlessness since childhood .Pt was admitted in GMC Aurangabad and was diagnosed with Rt lung abscess and treated with IV antibiotics for a period of 10 days and was discharged on oral antibiotics for 20 days .Pt presented to us after 1 month of discharge from GMC with C/o Cough with foul smelling expectoration ,fever , Nausea, vomiting and reduced appetite .After thorough investigation which showed increase in Total IgE and IgE to Aspergillus Fumigatus which s/o ABPA.