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Unusual association of diseases/symptoms
CASE REPORT
Mycobacterium avium intracellulare infection complicated by allergic bronchopulmonary aspergillosis in a non-asthmatic patient
  1. Arun Kadamkulam Syriac,
  2. Gurveen Malhotra,
  3. Cristina Isabel Anez de Gomez,
  4. Ahmet S Copur
  1. Internal Medicine, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA
  1. Correspondence to Dr Arun Kadamkulam Syriac, drsyriac{at}gmail.com

Summary

Allergic bronchopulmonary aspergillosis (ABPA) most often develops in patients with asthma or cystic fibrosis. We present a 91-year-old non-asthmatic patient with pre-existing Mycobacteriumavium complex (MAC) infection who got diagnosed with ABPA. Treatment of the two conditions can be challenging as immunosuppression with steroids for treatment of ABPA may exacerbate the underlying MAC infection. Treatment with steroids and antibiotics resulted in significant improvement in the patient’s condition.

  • asthma
  • respiratory medicine

https://doi.org/10.1136/bcr-2018-224835

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    Footnotes

    • Contributors AKS identified the case, did ground work including collected images and wrote up the case. CIAdG contributed by writing up the case. GM drafted and reviewed the case report, along with contributions to discussion part of the case. ASC reviewed the case report.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Next of kin consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.