Respiratory Medicine Case Reports (Jan 2021)

Simultaneous treatment for Mycobacterium-avium complex lung disease and allergic bronchopulmonary aspergillosis: A case report

  • Nobuhiro Oda,
  • Kei Nakashima,
  • Yuya Homma,
  • Norihiko Kubota,
  • Jumpei Taniguchi,
  • Tatsuya Nagai,
  • Michinori Yoshimi,
  • Ayumu Otsuki,
  • Hiroyuki Ito

Journal volume & issue
Vol. 34
p. 101488

Abstract

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Recently, there are several reports of simultaneous allergic bronchopulmonary aspergillosis (ABPA) and Mycobacterium-avium complex (MAC) lung disease. However, the strategies for early diagnosis and appropriate treatment for patients with both ABPA and MAC lung disease have not been established. Here, we report a case with ABPA complicated by MAC lung disease, which was successfully diagnosed and treated by simultaneous administration of systemic steroids and antimycobacterial drugs. Bronchoscopy can be useful in the diagnosis of such cases. Furthermore, in a patient with concurrent ABPA and MAC lung disease, simultaneous treatments for both diseases could reduce both diseases.

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