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Recurrence of Allergic Bronchopulmonary Aspergillosis in the Posttransplant Lungs of a Cystic Fibrosis Patient

Edward J. Fitzsimons; Robert Aris; Roy Patterson
Author and Funding Information

Affiliations: From the Division of Allergy-Immunology, Department of Medicine, and the Ernest S. Bazley Asthma and Allergic Diseases Center of Northwestern Memorial Hospital and Northwestern University Medical School, Chicago,  From the University of North Carolina, Chapel Hill

Affiliations: From the Division of Allergy-Immunology, Department of Medicine, and the Ernest S. Bazley Asthma and Allergic Diseases Center of Northwestern Memorial Hospital and Northwestern University Medical School, Chicago,  From the University of North Carolina, Chapel Hill


1997 by the American College of Chest Physicians


Chest. 1997;112(1):281-282. doi:10.1378/chest.112.1.281
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Abstract

Cystic fibrosis (CF) is an autosomal recessive disease of exocrine origin. Allergic bronchopulmonary aspergillosis (ABPA) is an immunologic disorder caused by colonization of the airways with Aspergillus fumigatus. A fumigatus has been cultured from posttransplant lungs in CF patients. Colonization of posttransplant lung with Aspergillus is a recognized phenomenon. In this case report, however, we present a patient who developed ABPA both before and after lung transplant. This patient meets the criteria for ABPA based on serologic results. ABPA may be a complication in post-CF lung transplant patients and serologic analysis should be considered when eosinophilia and pulmonary infiltrates or decline in lung function occurs.


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