Simultaneous treatment for M ycobacterium-avium complex lung disease and allergic bronchopulmonary aspergillosis: A case report

Nobuhiro Oda; Kei Nakashima; Yuya Homma; Norihiko Kubota; Jumpei Taniguchi; Tatsuya Nagai; Yoshinori Yoshimi; Ayumu Otsuki; Hiroyuki Ito

doi:10.1016/j.rmcr.2021.101488

Simultaneous treatment for M ycobacterium-avium complex lung disease and allergic bronchopulmonary aspergillosis: A case report

Respir Med Case Rep. 2021 Jul 24:34:101488. doi: 10.1016/j.rmcr.2021.101488. eCollection 2021.

Authors

Nobuhiro Oda¹, Kei Nakashima², Yuya Homma², Norihiko Kubota², Jumpei Taniguchi², Tatsuya Nagai², Yoshinori Yoshimi², Ayumu Otsuki², Hiroyuki Ito²

Affiliations

¹ Department of General Internal Medicine, Kameda Medical Center, Kamogawa, Japan.
² Department of Pulmonology, Kameda Medical Center, Kamogawa, Japan.

Abstract

Recently, there are several reports of simultaneous allergic bronchopulmonary aspergillosis (ABPA) and Mycobacterium-avium complex (MAC) lung disease. However, the strategies for early diagnosis and appropriate treatment for patients with both ABPA and MAC lung disease have not been established. Here, we report a case with ABPA complicated by MAC lung disease, which was successfully diagnosed and treated by simultaneous administration of systemic steroids and antimycobacterial drugs. Bronchoscopy can be useful in the diagnosis of such cases. Furthermore, in a patient with concurrent ABPA and MAC lung disease, simultaneous treatments for both diseases could reduce both diseases.

Keywords: Allergic bronchopulmonary aspergillosis; Mycobacterium-avium complex; Therapy.

Publication types

Case Reports