Managing diagnostic complexity: Allergic bronchopulmonary aspergillosis (ABPA) mimicking asthma exacerbation and infections in pediatric cases

Autor:	Murchana Khound, Bipul K. Das, Sreejana Sharma, Jaya S. Kaushik
Jazyk:	angličtina
Rok vydání:	2024
Předmět:	allergic bronchopulmonary aspergillosis (abpa) asthma exacerbation diagnostic challenges klebsiella pneumonia oral steroids pediatric respiratory conditions Medicine
Zdroj:	Journal of Family Medicine and Primary Care, Vol 13, Iss 9, Pp 4103-4106 (2024)
Druh dokumentu:	article
ISSN:	2249-4863 2278-7135
DOI:	10.4103/jfmpc.jfmpc_33_24
Popis:	Allergic bronchopulmonary aspergillosis (ABPA) presents diagnostic hurdles in pediatrics due to its resemblance to asthma or infections. An 11-year-old girl, known for recurrent asthma-related hospitalizations, presented with ongoing cough and breathing issues. Initial asthma treatment provided temporary relief, but her reliance on oxygen spurred further investigation. Radiological assessments initially suggested infection, confirmed as Klebsiella pneumonia, but antibiotic treatment proved insufficient. Elevated eosinophils, IgE levels, and specific IgE for Aspergillus fumigatus hinted at ABPA. Confirmation led to a successful three-month oral steroid course, combining therapies for effective management. Distinguishing ABPA from asthma and infections demands a thorough approach for timely identification and treatment in pediatric cases.
Databáze:	Directory of Open Access Journals
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