Critical asthma associated with allergic bronchopulmonary aspergillosis: Case report

Revista Peruana de Medicina Experimental y Salud Pública

Fernando Barriga Cari¹  Julissa Mogollon-Lavi²  Miguel A. Vences³  Tatiana Arias-Rojas⁴  Carol ManriqueVillegas⁴ 

[1] Departamento de Cuidados Intensivos, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.Médico asistente;Departamento de Medicina Interna, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.Médico/a residente;Departamento de Neurología, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.Médico/a residente;Servicio de Neumología. Departamento de Neumología, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.Médico/a residente;

关键词: asma;    aspergilosis broncopulmonar alérgica;    aspergillus fumigatus;   

DOI  :  10.17843/rpmesp.2020.372.4773

来源: DOAJ

【 摘 要 】

Critical asthma syndrome is the most severe consequence of an acute asthma exacerbation. Allergic bronchopulmonary aspergillosis is one of the most frequent pathologies that mimic critical asthma syndrome and is associated with a high mortality risk when timely diagnosis is not achieved in difficult-to-control asthmatic patients. We present the case of a 15-year-old male who was admitted to the intensive care unit with critical asthma signs and symptoms, where a diagnosis of allergic bronchopulmonary aspergillosis was made. He responded favorably with voriconazole and corticoids. In our context, the diagnosis of allergic bronchopulmonary aspergillosis should be considered in all patients with critical asthma or with a chronic lung disease that is difficult to control. Early diagnosis and treatment improve the quality of life and prognosis of patients.

【 授权许可】

Unknown