Monaldi Archives for Chest Disease (Mar 2021)

Another rare presentation of allergic bronchopulmonary aspergillosis

  • Komaldeep Kaur,
  • Karan Sharma,
  • Nidhi Girdhar,
  • Aditi Gupta,
  • Vishal Chopra

DOI
https://doi.org/10.4081/monaldi.2021.1696

Abstract

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Mediastinal lymphadenopathy is often associated with tuberculosis, especially in a high burden country like India. We present a case of an asymptomatic female, who had mediastinal lymphadenopathy and middle lobe collapse, both of which pointed towards a diagnosis of tuberculosis. Patient was later diagnosed as a case of allergic bronchopulmonary aspergillosis (ABPA) on basis of clinical, radiological and serological findings. Hence, even in a high burden country and in background of bronchial asthma, ABPA should be kept as a differential diagnosis in patients presenting with mediastinal lymphadenopathy

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