# A Case Report of Navigating Dual Respiratory Challenges: From Pulmonary Tuberculosis (PTB) to Allergic Bronchopulmonary Aspergillosis (ABPA)

**Authors:** Bana Mary Manishaa, Jereen Varghese, Nithin Thomas

PMC · DOI: 10.7759/cureus.64735 · Cureus · 2024-07-17

## TL;DR

A 28-year-old man with persistent respiratory symptoms after TB treatment was found to have ABPA, highlighting the need for careful diagnosis in similar cases.

## Contribution

The paper presents a rare case linking PTB and ABPA, emphasizing the importance of considering ABPA in TB patients with ongoing symptoms.

## Key findings

- A patient with treated PTB was diagnosed with ABPA after persistent symptoms.
- The case highlights the risk of overlooking ABPA in TB patients.
- Early recognition of ABPA is crucial to prevent lung damage and improve outcomes.

## Abstract

This case study describes a unique scenario in which allergic bronchopulmonary aspergillosis (ABPA) was identified following treatment for pulmonary tuberculosis (PTB). ABPA is a complex pulmonary disorder that is often overlooked due to its nonspecific clinical presentation, especially in individuals concurrently diagnosed with tuberculosis (TB). Despite initial TB diagnosis and treatment, a 28-year-old male continued to experience respiratory symptoms, prompting further investigation that revealed underlying ABPA. This case underscores the importance of emphasizing the critical role of maintaining a high level of suspicion for ABPA in TB patients with persistent symptoms, highlighting the need for timely recognition and management to minimize further lung damage and improve patient outcomes.

## Linked entities

- **Diseases:** pulmonary tuberculosis (MONDO:0006052), allergic bronchopulmonary aspergillosis (MONDO:0015243), tuberculosis (MONDO:0018076)

## Full-text entities

- **Diseases:** TB (MESH:D014376), lung damage (MESH:D008171), ABPA (MESH:D001229), respiratory symptoms (MESH:D012818), PTB (MESH:D014397)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11328826/full.md

## References

9 references — full list in the complete paper: https://tomesphere.com/paper/PMC11328826/full.md

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Source: https://tomesphere.com/paper/PMC11328826