Cystic fibrosis complicated by allergic bronchopulmonary aspergillosis

Case contributed by Dr Sophie O'Dowd

Presentation

Paediatric patient with known cystic fibrosis presents with worsening cough. On examination there was reduced air entry in the right upper lobe.

Patient Data

Age: 8
Gender: Male

There is nodular dense opacification in a finger-in-glove configuration overlying the right hilum and extending into the right upper lobe. This is likely to represent a combination of hilar lymphadenopathy and infective consolidation/bronchial plugging. In addition there is perihilar consolidation on the left.

Case Discussion

Atopic patients are predisposed to allergic broncho-pulmonary aspergillosis (ABPA) through defective immuno-regulation. Both asthma and cystic fibrosis are strongly associated with atopy. Presenting symptoms raising the possibility of ABPA in these patient groups include worsening respiratory symptoms, low-grade fever, weight loss and malaise.  

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Case information

rID: 44558
Case created: 27th Apr 2016
Last edited: 24th Dec 2016
Systems: Chest, Paediatrics
Inclusion in quiz mode: Included

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