# Occupational Lung Disease Causing Allergic Bronchopulmonary Aspergillosis: A Case Report

**Authors:** E. Ramya Shree, Deepan Kumar T, C. H. Naga Sekhar, Krishnaswamy Madhavan, J. S. Kumar

PMC · DOI: 10.7759/cureus.66252 · 2024-08-06

## TL;DR

This case report describes a man who was misdiagnosed for a year before being correctly identified with a lung disease caused by a fungal infection.

## Contribution

The paper highlights the diagnostic challenges of ABPA in regions with high tuberculosis prevalence through a real-world case.

## Key findings

- ABPA was misdiagnosed as tuberculosis in an Indian patient for one year.
- The patient recovered successfully after a correct diagnosis of ABPA.
- The case underscores the need for improved diagnostic approaches in similar regions.

## Abstract

Aspergillus fumigatus can induce allergic bronchopulmonary aspergillosis (ABPA), an immunological hypersensitivity reaction that frequently exacerbates the symptoms of cystic fibrosis and asthma patients. Due to persistent symptoms, a considerable percentage of patients with ABPA in India, a country where tuberculosis is widespread, are initially misdiagnosed as having pulmonary tuberculosis. We present a case of ABPA in a male industry worker, who was diagnosed after one year of having symptoms and has successfully recovered since.

## Linked entities

- **Diseases:** allergic bronchopulmonary aspergillosis (MONDO:0015243), cystic fibrosis (MONDO:0009061), asthma (MONDO:0004979), tuberculosis (MONDO:0018076)

## Full-text entities

- **Diseases:** Lung Disease (MESH:D008171), tuberculosis (MESH:D014376), pulmonary tuberculosis (MESH:D014397), cystic fibrosis (MESH:D003550), hypersensitivity (MESH:D004342), ABPA (MESH:D001229), asthma (MESH:D001249)
- **Species:** Aspergillus fumigatus (species) [taxon 746128], Homo sapiens (human, species) [taxon 9606]

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11375433/full.md

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Source: https://tomesphere.com/paper/PMC11375433