LEFT UPPER LOBE COLLAPSE WITH LEFT SIDED PNEUMOTHORAX (EXVACUO): UNUSUAL PRESENTATION OF ALLERGIC BRONCHOPULMONARY ASPERGILLOSIS.

Surender Kashyap, Abinav Dagar, Sumit Bharti, Priya Sharma

Abstract


Lobar or segmental collapse and secondary spontaneous pneumothorax are two unusual presentations of allergic bronchopulmonary aspergillosis
(ABPA). Lobar or segmental collapse is found in acute and exacerbation phases of ABPA due to “mucoid impaction” into damaged bronchi, and
secondary spontaneous pneumothorax is due to rupture of sub-pleural fibro-cystic spaces of pulmonary parenchyma, mainly in the fibrotic stage of
ABPA. Clinical presentation of these two in the background of poorly controlled asthma in compliant individuals creates confusion in the
diagnosis, and ABPA should be searched for. Here, we report a rare case of left upper lobe collapse and left sided pneumothorax occurring
simultaneously in an 18-year-old Asthmatic Male with ABPA


Keywords


Allergic Bronchopulmonary Aspergillosis, Asthma, Oral Corticosteroids, Pneumothorax, Upper Lobe Collapse.

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References


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