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Year : 2014  |  Volume : 2  |  Issue : 2  |  Page : 71-74

Right-sided pneumothorax and right upper lobe collapse: Two unusual presentations of allergic bronchopulmonary aspergillosis

Department of Pulmonary Medicine, Medical College, Kolkata, West Bengal, India

Correspondence Address:
Anirban Das
C/o. Mr. Pradip Das, Peon Para,Bhatchala, Near Vidyarthi Girls' High School, P. O. Sripalili, P. S. Burdwan Sadar, District Burdwan, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2320-8775.135116

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Lobar or segmental collapse and secondary spontaneous pneumothorax are two unusual presentations of allergic bronchopulmonary aspergillosis (ABPA). First one is found in acute and exacerbation phases of ABPA due to "mucoid impaction" into damaged bronchi, and latter one is due to rupture of sub-pleural fibro-cystic spaces of pulmonary parenchyma, mainly in the fibrotic stage of ABPA. Clinical presentation of these two in the background of poorly controlled asthma in compliant individuals confuses the diagnosis, and ABPA should be searched for. Here, we report a rare case of right upper lobe collapse and right sided pneumothorax in separate occasions in an 18-year-old male, suffering from asthma with ABPA.

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