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A Peculiar Case of Pneumonia due to Mycoplasma pneumoniae in a Child with Cystic Fibrosis and Sensibilization to Aspergillus fumigatus

Aspergillus fumigatus plays a major role in pulmonary exacerbations in patients with cystic fibrosis. The most common A. fumigatus diseases are those based on immune-mediated response to A. fumigatus antigens; including allergic bronchopulmonary aspergillosis (ABPA). In this condition; the presence...

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Autores principales: Peccini, Laura, Pennoni, Serena, Mencarini, Valeria, Saponara, Marco, Palladino, Nicola, Principi, Nicola, Pennoni, Guido, Esposito, Susanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7168586/
https://www.ncbi.nlm.nih.gov/pubmed/31877884
http://dx.doi.org/10.3390/pathogens9010015
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author Peccini, Laura
Pennoni, Serena
Mencarini, Valeria
Saponara, Marco
Palladino, Nicola
Principi, Nicola
Pennoni, Guido
Esposito, Susanna
author_facet Peccini, Laura
Pennoni, Serena
Mencarini, Valeria
Saponara, Marco
Palladino, Nicola
Principi, Nicola
Pennoni, Guido
Esposito, Susanna
author_sort Peccini, Laura
collection PubMed
description Aspergillus fumigatus plays a major role in pulmonary exacerbations in patients with cystic fibrosis. The most common A. fumigatus diseases are those based on immune-mediated response to A. fumigatus antigens; including allergic bronchopulmonary aspergillosis (ABPA). In this condition; the presence of A. fumigatus in the lower respiratory tract triggers an IgE-mediated hypersensitivity response that causes airway inflammation; bronchospasms; and bronchiectasis. This case report describes a ten-year-old male patient suffering from cystic fibrosis (CF) in whom the diagnosis of ABPA occurred in association with pneumonia due to Mycoplasma pneumoniae more than two weeks after hospitalization. This case is a good example of how difficult the identification of ABPA in CF patients can be and highlights that ABPA can occur in association with co-infections due to other pathogens. In order to avoid the risk of a late ABPA diagnosis, it is imperative that the diagnostic criteria guidelines are reviewed and standardized.
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spelling pubmed-71685862020-04-22 A Peculiar Case of Pneumonia due to Mycoplasma pneumoniae in a Child with Cystic Fibrosis and Sensibilization to Aspergillus fumigatus Peccini, Laura Pennoni, Serena Mencarini, Valeria Saponara, Marco Palladino, Nicola Principi, Nicola Pennoni, Guido Esposito, Susanna Pathogens Case Report Aspergillus fumigatus plays a major role in pulmonary exacerbations in patients with cystic fibrosis. The most common A. fumigatus diseases are those based on immune-mediated response to A. fumigatus antigens; including allergic bronchopulmonary aspergillosis (ABPA). In this condition; the presence of A. fumigatus in the lower respiratory tract triggers an IgE-mediated hypersensitivity response that causes airway inflammation; bronchospasms; and bronchiectasis. This case report describes a ten-year-old male patient suffering from cystic fibrosis (CF) in whom the diagnosis of ABPA occurred in association with pneumonia due to Mycoplasma pneumoniae more than two weeks after hospitalization. This case is a good example of how difficult the identification of ABPA in CF patients can be and highlights that ABPA can occur in association with co-infections due to other pathogens. In order to avoid the risk of a late ABPA diagnosis, it is imperative that the diagnostic criteria guidelines are reviewed and standardized. MDPI 2019-12-22 /pmc/articles/PMC7168586/ /pubmed/31877884 http://dx.doi.org/10.3390/pathogens9010015 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Peccini, Laura
Pennoni, Serena
Mencarini, Valeria
Saponara, Marco
Palladino, Nicola
Principi, Nicola
Pennoni, Guido
Esposito, Susanna
A Peculiar Case of Pneumonia due to Mycoplasma pneumoniae in a Child with Cystic Fibrosis and Sensibilization to Aspergillus fumigatus
title A Peculiar Case of Pneumonia due to Mycoplasma pneumoniae in a Child with Cystic Fibrosis and Sensibilization to Aspergillus fumigatus
title_full A Peculiar Case of Pneumonia due to Mycoplasma pneumoniae in a Child with Cystic Fibrosis and Sensibilization to Aspergillus fumigatus
title_fullStr A Peculiar Case of Pneumonia due to Mycoplasma pneumoniae in a Child with Cystic Fibrosis and Sensibilization to Aspergillus fumigatus
title_full_unstemmed A Peculiar Case of Pneumonia due to Mycoplasma pneumoniae in a Child with Cystic Fibrosis and Sensibilization to Aspergillus fumigatus
title_short A Peculiar Case of Pneumonia due to Mycoplasma pneumoniae in a Child with Cystic Fibrosis and Sensibilization to Aspergillus fumigatus
title_sort peculiar case of pneumonia due to mycoplasma pneumoniae in a child with cystic fibrosis and sensibilization to aspergillus fumigatus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7168586/
https://www.ncbi.nlm.nih.gov/pubmed/31877884
http://dx.doi.org/10.3390/pathogens9010015
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