Surender Kashyap, Abinav Dagar, Sumit Bharti, Priya Sharma


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


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

Full Text:



Denning DW, Pleuvry A, Cole DC. Global burden of allergic bronchopulmonary aspergillosis with asthma and its complication chronic pulmonary aspergillosis in adults. Med Mycol 2013;51:361‑70.

Agarwal R, Aggarwal AN, Gupta D, Jindal SK. Aspergillus hypersensitivity and allergic bronchopulmonary aspergillosis in patients with bronchial asthma: Systematic review and meta‑analysis. Int J Tuberc Lung Dis 2009;13:936‑44.

Hinson KF, moon aj, Plummer NS. Broncho‑pulmonary aspergillosis; a review and a report of eight new cases. Thorax 1952;7:317‑33.

Diwakar A, Panjabi C, Shah A. Allergic bronchopulmonary aspergillosis, allergic Aspergillus sinusitis and their co‑occurrence. Open Allergy J 2008;1:52‑61.

Shah A. Allergic bronchopulmonary and sinus aspergillosis: The roentgenologic spectrum. Front Biosci 2003;8:e138‑46.

Agarwal R, Maskey D, Aggarwal AN, Saikia B, Garg M, Gupta D, et al. Diagnostic performance of various tests and criteria employed in allergic bronchopulmonary aspergillosis: A latent class analysis. PLoS One 2013;8:e61105.

Patterson R,Greenberger PA, Radin RC, Roberts M.Allergicbronchopulmonary aspergillosis: Staging as an aid to management. Ann Intern Med 1982;96:286‑91.

Menzies D, Holmes L, McCumesky G, Prys‑Picard C, Niven R. Aspergillus sensitization is associated with airflow limitation and bronchiectasis in severe asthma. Allergy 2011;66:679‑85.

Agarwal R, Gupta D, Aggarwal AN, Behera D, Jinda SK. Allergic bronchopulmonary aspergillosis: Lessons from 126 patients attending a chestclinic in North India. Chest 2006;130:442‑8.

Agarwal R, Khan A, Garg M, Aggarwal AN, Gupta D. Pictorial essay: Allergic bronchopulmonary aspergillosis. Indian J Radiol Imaging 2011;21:242‑52.

Judson MA, Marshall C, Beale G, Holt JB. Pneumothorax and bronchopleural fistula during treatment of allergic bronchopulmonary aspergillosis. South Med J 1993;86:1061‑3.

Nowicka U, Wiatr E, Jakubowska L, Polubiec‑Kownacka M. Allergic bronchopulmonary aspergillosis mimicking lung cancer in patients without bronchial asthma – Case report. PneumonolAlergol Pol 2012;80:77‑81


  • There are currently no refbacks.