Open AccessPleural effusion. An unfamiliar presentation of ABPA
Author(s) -
Khushpreet Kaur,
Anita Gupta,
Gagandeep Kaur,
Vishal Chopra
Publication year - 2020
Publication title -
monaldi archives for chest disease. pulmonary series/monaldi archives for chest disease/monaldi archives for chest disease. cardiac series
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.196
H-Index - 46
eISSN - 2465-101X
pISSN - 1122-0643
DOI - 10.4081/monaldi.2020.1380
Subject(s) - medicine , pleural effusion , allergic bronchopulmonary aspergillosis , aspergillus fumigatus , immunoglobulin e , aspergillosis , antibiotics , pleural fluid , asthma , dermatology , immunology , antibody , microbiology and biotechnology , biology
Pleural effusion is rarely encountered in patients of allergic bronchopulmonary aspergillosis (ABPA). We report the case of a 17-year-old male who presented with complaints of fever, cough and increasing shortness of breath for 3 weeks. Patient had breathlessness with seasonal variation. Patient had right lower lobe consolidation with pleural effusion which did not respond to antibiotics. Pleural fluid was exudate with neutrophilic predominance and low ADA. Skin prick test for Aspergillus fumigatus was positive, both total IgE and specific IgE against Aspergillus fumigatus were raised.