INVASIVE PULMONARY ASPERGILLOSIS COMPLICATING ALLERGIC BRONCHOPULMONARY ASPERGILLOSIS

Invasive pulmonary aspergillosis is a frequent complication in immunoc ompromised patients. The role of the prolonged use of steroids in pred isposing to invasive aspergillosis has been recognized, but exceptiona lly described in asthmatic patients. We report the case of a 59-year-o ld woman with bronchial asthma treated with steroid therapy for a long time, who developed an invasive pulmonary aspergillosis with an unusu al combination of invasive and allergic disease. It seems reasonable t o think that allergic disease due to allergic bronchopulmonary aspergi llosis (ABPA) preceded the terminal invasive process. Adjunctive thera py with antifungal agents in patients with ABPA is considered, since t here is the risk of an invasive pulmonary aspergillosis.