Allergic Bronchopulmonary Aspergillosis: A Case Report

Allergic Bronchopulmonary Aspergillosis (ABPA) is an inflammatory disease of the lower airways characterized by a complex immune response directed against a fungus of the Aspergillus genus. It occurs in chronic airway diseases such as asthma and cystic fibrosis. It is a rare, severe, and underdiagnosed condition. This article presents the case of a 56-year-old patient, poorly managed asthmatic for 30 years, with partial control of symptoms. His medical history dates back 2 months, with a progressive onset of increasingly frequent and successive asthma attacks, requiring frequent visits to the emergency department for nebulization. The radiological assessment confirmed the presence of bilateral proximal bronchiectasis. The diagnosis of ABPA was made according to the 2020 modified ISHAM criteria. Long-term corticosteroid therapy was prescribed under strict monitoring. The outcome showed improvement in dyspnea, asthma control, and a significant improvement in respiratory function