|
KMID : 1143120160060010067
|
|
Asia Pacific Allergy
2016 Volume.6 No. 1 p.67 ~ p.69
|
|
|
Childhood allergic bronchopulmonary aspergillosis presenting as a middle lobe syndrome
|
|
Shah Ashok
Gera Kamal
Panjabi Chandramani
|
|
|
Abstract
|
|
|
|
Allergic bronchopulmonary aspergillosis (ABPA) is infrequently documented in children with asthma. Although collapse is not uncommon, middle lobe syndrome (MLS) as a presentation of ABPA is rather a rarity. A 9-year-old female child with asthma presented with increase in intensity of symptoms along with a right midzone patchy consolidation on a chest radiograph. In addition, an ill-defined opacity abutting the right cardiac border with loss of cardiac silhouette was noted. A right lateral view confirmed a MLS, which was further corroborated by high resolution computed tomography. Central bronchiectasis was also observed, which prompted a work-up for ABPA. The child met 7/8 major diagnostic criteria for ABPA. She was then initiated on oral prednisolone that resulted in a marked clinical improvement within a fortnight. Radiological clearance occurred at 3 months with inflation of the middle lobe. ABPA presenting with MLS in a child is yet to be reported. A high index of suspicion is required to establish the diagnosis of ABPA in a child presenting with MLS. This would obviate the invasive investigations usually done to ascertain the cause of MLS.
|
|
|
KEYWORD
|
|
|
Allergic Bronchopulmonary Aspergillosis, Asthma, Central Bronchiectasis, Middle Lobe Syndrome, Paediatrics
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|