2019
DOI: 10.1016/j.mmcr.2019.07.003
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A unique case of hydropneumothorax in allergic bronchopulmonary aspergillosis

Abstract: Allergic bronchopulmonary aspergillosis (ABPA) is an immunologically mediated disease characterized by a hypersensitivity reaction to fungal colonization by Aspergillus. Hydropneumothoraces and bronchopleural fistulae are rare occurrences in patients with ABPA. However, the diagnosis of ABPA is important to consider, as it is easily treatable with specific therapy. We report an unusual case of a patient with ABPA who presented to us with hydropneumothorax with bronchopleural fistula.

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Cited by 8 publications
(8 citation statements)
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“…Although rare, secondary pneumothorax is a serious complication of ABPA with varying clinical severity and significant morbidity. To our knowledge, there are three case reports of secondary pneumothorax in ABPA, with limited discussion of mechanism and general management strategies, and therefore the epidemiologic considerations are limited [ 1 , 2 , 8 ]. Pneumothorax is, however, recognized as a complication of cystic fibrosis, where Aspergillus infection and ABPA are known risk factors for this specific complication [ 9 ].…”
Section: Discussionmentioning
confidence: 99%
“…Although rare, secondary pneumothorax is a serious complication of ABPA with varying clinical severity and significant morbidity. To our knowledge, there are three case reports of secondary pneumothorax in ABPA, with limited discussion of mechanism and general management strategies, and therefore the epidemiologic considerations are limited [ 1 , 2 , 8 ]. Pneumothorax is, however, recognized as a complication of cystic fibrosis, where Aspergillus infection and ABPA are known risk factors for this specific complication [ 9 ].…”
Section: Discussionmentioning
confidence: 99%
“…However, there has been some research on hydropneumothorax formation from other infections such as Mycobacterium tuberculosis . Tuberculosis has been found to be the most common etiology of hydropneumothorax, followed by bacterial infections and pleural or pulmonary malignancies [ 13 ]. A proposed mechanism for hydropneumothorax formation from tuberculosis is through the formation of a bronchopleural fistula.…”
Section: Discussionmentioning
confidence: 99%
“…Necrotizing pneumonia or lung parenchymal involvement, due to various aetiologies, can result in PTX/PM. The causes include commonly Pneumocystis jirovecii pneumonia (PCP), bacterial pneumonia caused by Staphylococci, Mycoplasma pneumoniae, Klebsiella and Pseudomonas spp., bronchiolitis obliterans organising pneumonia (BOOP) and sometimes by rarer organisms such as Herpes simplex, cytomegalovirus pneumoniae, Aspergillus and even influenzae virus (6)(7)(8)(9)(10)(11)(12). The previous Middle East respiratory syndrome (MERS) and severe acute respiratory syndrome coronavirus 1 (SARS-CoV-1) outbreaks have been associated with an increased incidence of PTX and PM (16.4% and 1.7-11.6%, respectively) associated with increased mortality (13)(14)(15).…”
Section: Introductionmentioning
confidence: 99%