Allergic bronchopulmonary aspergillosis. A review of 3 cases.

Authors

  • Leila Fekih
  • Leila Boussoffara
  • Hajer Ben Abdelghaffar
  • Soraya Fenniche
  • Ines Akrout
  • Hela Hassene
  • Dalenda Belhabib Service de pneumologie Ibn Nafiss. Hôpital Abderrhmane MAMI de L'ARIANA
  • Mohamed Lamine Megdiche

Keywords:

Aspergillus, aspergillosis, asthma, treatment, corticotherapy

Abstract

Background: Allergic bronchopulmonary aspergillosis (ABPA) is a rare affection, initially described in 1952. Its pathophysiology incriminate several mecanisms in relation with the organism of the patient and the bronchial colonisation by the fongic agent.
Aim: To report three cases of ABPA.
Cases report: Three patients had been treated for ABPA in Ibn Nafiss department in Abderrahmen Mami hospital in Ariana. ABPA had been discovered in the three cases by a corticodependant asthma, refractory for different therapeutics. Positif diagnosis reposed in the 3 patients at 6 major and one minor criterion. Traitment was essentially based in corticotherapy.
Conclusion: Positif diagnosis of ABPA is actually well established, however, its traitement, although based on corticotherapy, remind not clearly codified. Association of antifongic treatment may improve the prognosis.

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Published

2011-05-09

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Case report