{"title":"以弥漫性肺病变为特征的过敏性支气管肺曲菌病急性呼吸衰竭1例报告并文献复习","authors":"Hongmei Ren","doi":"10.1111/crj.70115","DOIUrl":null,"url":null,"abstract":"<p>Allergic bronchopulmonary aspergillosis (ABPA) is an allergic lung disease caused by sensitivity to <i>Aspergillus fumigatus</i>. Diffuse lung lesions as a radiological presentation of ABPA are exceedingly rare, with no documented case in the literature. We present a case with asthma. High-resolution computed tomography (HRCT) of the chest revealed diffuse lung lesions. Additionally, arterial blood gas analysis revealed life-threatening acute Type II respiratory failure. Initially, there was suspicion of a mycobacterial infection. However, a subsequent diagnosis revealed the atypical presentation of ABPA. Finally, the patient's symptoms improved, and lung shadows were absorbed after undergoing mechanical ventilation with tracheal intubation and receiving methylprednisolone treatment.</p>","PeriodicalId":55247,"journal":{"name":"Clinical Respiratory Journal","volume":"19 7","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/crj.70115","citationCount":"0","resultStr":"{\"title\":\"Acute Respiratory Failure in Allergic Bronchopulmonary Aspergillosis Characterized by Diffuse Lung Lesions: A Case Report and Literature Review\",\"authors\":\"Hongmei Ren\",\"doi\":\"10.1111/crj.70115\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>Allergic bronchopulmonary aspergillosis (ABPA) is an allergic lung disease caused by sensitivity to <i>Aspergillus fumigatus</i>. Diffuse lung lesions as a radiological presentation of ABPA are exceedingly rare, with no documented case in the literature. We present a case with asthma. High-resolution computed tomography (HRCT) of the chest revealed diffuse lung lesions. Additionally, arterial blood gas analysis revealed life-threatening acute Type II respiratory failure. Initially, there was suspicion of a mycobacterial infection. However, a subsequent diagnosis revealed the atypical presentation of ABPA. Finally, the patient's symptoms improved, and lung shadows were absorbed after undergoing mechanical ventilation with tracheal intubation and receiving methylprednisolone treatment.</p>\",\"PeriodicalId\":55247,\"journal\":{\"name\":\"Clinical Respiratory Journal\",\"volume\":\"19 7\",\"pages\":\"\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-07-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/crj.70115\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Respiratory Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/crj.70115\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"RESPIRATORY SYSTEM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Respiratory Journal","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/crj.70115","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
Acute Respiratory Failure in Allergic Bronchopulmonary Aspergillosis Characterized by Diffuse Lung Lesions: A Case Report and Literature Review
Allergic bronchopulmonary aspergillosis (ABPA) is an allergic lung disease caused by sensitivity to Aspergillus fumigatus. Diffuse lung lesions as a radiological presentation of ABPA are exceedingly rare, with no documented case in the literature. We present a case with asthma. High-resolution computed tomography (HRCT) of the chest revealed diffuse lung lesions. Additionally, arterial blood gas analysis revealed life-threatening acute Type II respiratory failure. Initially, there was suspicion of a mycobacterial infection. However, a subsequent diagnosis revealed the atypical presentation of ABPA. Finally, the patient's symptoms improved, and lung shadows were absorbed after undergoing mechanical ventilation with tracheal intubation and receiving methylprednisolone treatment.
期刊介绍：
Overview
Effective with the 2016 volume, this journal will be published in an online-only format.
Aims and Scope
The Clinical Respiratory Journal (CRJ) provides a forum for clinical research in all areas of respiratory medicine from clinical lung disease to basic research relevant to the clinic.
We publish original research, review articles, case studies, editorials and book reviews in all areas of clinical lung disease including:
Asthma
Allergy
COPD
Non-invasive ventilation
Sleep related breathing disorders
Interstitial lung diseases
Lung cancer
Clinical genetics
Rhinitis
Airway and lung infection
Epidemiology
Pediatrics
CRJ provides a fast-track service for selected Phase II and Phase III trial studies.
Keywords
Clinical Respiratory Journal, respiratory, pulmonary, medicine, clinical, lung disease,
Abstracting and Indexing Information
Academic Search (EBSCO Publishing)
Academic Search Alumni Edition (EBSCO Publishing)
Embase (Elsevier)
Health & Medical Collection (ProQuest)
Health Research Premium Collection (ProQuest)
HEED: Health Economic Evaluations Database (Wiley-Blackwell)
Hospital Premium Collection (ProQuest)
Journal Citation Reports/Science Edition (Clarivate Analytics)
MEDLINE/PubMed (NLM)
ProQuest Central (ProQuest)
Science Citation Index Expanded (Clarivate Analytics)
SCOPUS (Elsevier)
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