is the third most common causative fungus of allergic bronchopulmonary mycosis(ABPM). Two-thirds of ABPM caused by can be positive for -specific IgE, which can be difficult to diagnose. Our patient presented to our hospital with wet cough for 3 months and chest pain for 3 days. Blood tests showed IgE 1522 IU/mL, eosinophils 688/mm, -specific IgE 2.24 UA/mL, and chest computed tomography showed high-attenuation mucus. Bronchoscopy showed mucus plugs and speculum examination showed filamentous fungi, but various culture tests did not detect , Asp f 1-specific IgE was negative, and was detected in the culture of bronchial washing. Since he was positive for -specific IgE and IgG, he diagnosed ABPM caused by . These findings demonstrate the importance of identifying the causative fungus in ABPM by detailed examination.
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| http://dx.doi.org/10.1002/rcr2.1433 | DOI Listing |
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