Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Respir Care. 2012 Sep;57(9):1509-13. doi: 10.4187/respcare.01670. Epub 2012 Feb 17.
The involvement of pleura in patients with allergic bronchopulmonary aspergillosis (ABPA) is uncommon. In most reported cases the involvement of the pleura is presumed to be due to ABPA per se, due to the observed response to corticosteroids. We report a case of histopathologically proven tubercular pleural effusion in a patient with ABPA at the time of initial diagnosis. This case highlights the importance of intensive evaluation of an exudative pleural effusion in settings where pleural effusion due to the primary underlying disease is uncommon or rare.
胸膜受累在变应性支气管肺曲霉病（ABPA）患者中并不常见。在大多数报道的病例中，胸膜受累被认为是由于 ABPA 本身引起的，因为观察到对皮质类固醇的反应。我们报告了一例在 ABPA 初始诊断时经组织病理学证实的结核性胸腔积液病例。该病例强调了在原发性基础疾病引起的胸腔积液不常见或罕见的情况下，对渗出性胸腔积液进行强化评估的重要性。
