Citation Information :
Mittal S, Amir M, Loganathan N, Mohan A, Madan K. Coexistent ABPA and Tuberculosis Presenting as Lung Collapse with Respiratory Failure. Indian J Chest Dis Allied Sci 2019; 61 (3):147-149.
A 30-year-old female presented with respiratory failure and left lung collapse. Possibility of tumour related endobronchial obstruction was considered. Bronchoscopy revealed thick mucus in the left main bronchus, acid-fast bacilli were present on examination of bronchial washings and Gene-Xpert test was positive for Mycobacterium tuberculosis. In view of significant mucoid impaction, possibility of allergic bronchopulmonary aspergillosis was considered. Serum Aspergillus specific immunoglobulin E levels, Aspergillus precipitins and total serum immunoglobulin E levels were elevated. A diagnosis of allergic bronchopulmonary aspergillosis co-existent with pulmonary tuberculosis was made. Patient was treated with anti-tuberculosis therapy along with oral corticosteroids.
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