MEDizzy - A 40-year-old male smoker with a history of asthma is

Feed Library Learning Discuss Leaderboard Journal

Infection causing diseases 2

A 40-year-old male smoker with a history of asthma is admitted to the inpatient medical service with fever, cough, brownish-green sputum, and malaise. Physical examination shows an RR of 15 breaths/min, no use of accessory muscles of breathing, and bilateral polyphonic wheezes throughout the lung felds. There is no clubbing or skin lesions. You consider a diagnosis of allergic bronchopulmonary aspergillosis. All of the following clinical features are consistent with allergic bronchopulmonary aspergillosis EXCEPT:

ExplanationIn a patient with suspected allergic bronchopulmonary aspergillosis (ABPA), all of the following clinical features are consistent with the condition: B. Elevated serum IgE C. Peripheral eosinophilia D. Positive serum antibodies to Aspergillus species These findings are commonly seen in ABPA and help support the diagnosis. However, the presence of bilateral, peripheral cavitary lung infiltrates (option A) is not typically associated with ABPA. Instead, ABPA is characterized by bronchial wall thickening, mucoid impaction, and fleeting pulmonary infiltrates. Therefore, option A (Bilateral, peripheral cavitary lung infiltrates) is the correct answer as it is not consistent with the typical radiological findings seen in ABPA.