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Case ReportCase Report
Open Access

Allergic bronchopulmonary aspergillosis mimicking pulmonary Tuberculosis

Omer S. Al-moudi
Saudi Medical Journal August 2001, 22 (8) 708-713;
Omer S. Al-moudi
Consultant Pulmonologist, Department of Medicine, King Abdulaziz University Hospital, PO Box 6615, Jeddah 21452, Kingdom of Saudi Arabia. Tel. +966 (2) 640 8246. Fax. +966 (2) 640 8315. E-mail: [email protected]
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Abstract

Allergic bronchopulmonary aspergillosis is an uncommon disease in which cystic bronchiectasis is a common feature. The presence of central bronchiectasis with constitutional symptoms of cough, fever, weight loss, and pulmonary infiltration in patients with allergic bronchopulmonary aspergillosis has been misdiagnosed as cavitating pulmonary tuberculosis. Herein, we report 2 cases of allergic bronchopulmonary aspergillosis that were misdiagnosed as pulmonary tuberculosis and treated with antituberculous therapy. They all have negative sputum and bronchoalveolar lavage for acid-fast bacillus as well as their tuberculin tests. The diagnosis of pulmonary tuberculosis was based on the presence of symptoms and radiological changes. In both cases the presence of long standing asthma, high peripheral eosinophilic counts and wide spread of central bronchiectasis besides the poor response of antituberculous therapy has drawn our attention towards the diagnosis of allergic bronchopulmonary aspergillosis. This was confirmed by the presence of high immunoglobulin E level, positive skin prick test and positive specific serum immunoglobulin E to aspergillus fumigatus. Therefore, a high index of clinical suspicion with appropriate laboratory tests is required to identify such cases.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 22 (8)
Saudi Medical Journal
Vol. 22, Issue 8
1 Aug 2001
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Allergic bronchopulmonary aspergillosis mimicking pulmonary Tuberculosis
Omer S. Al-moudi
Saudi Medical Journal Aug 2001, 22 (8) 708-713;

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Allergic bronchopulmonary aspergillosis mimicking pulmonary Tuberculosis
Omer S. Al-moudi
Saudi Medical Journal Aug 2001, 22 (8) 708-713;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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