Abstract

A 51 year old female K/C/O Bronchial asthma with allergic rhinosinusites on inhale corticosteroids and bronchodilators since 1998 was on oral steroids and antihistaminics during acute exacerbations. She was diagnosed as PTB on radiological bases in 2006 and was put on ATT for 16 months and declared cured. later on in 2011 she was again started on ATT as a case of relapse CT showing mediastinal adenopathy with parenchymal infiltrates. She presented to us in 2012, thorough investigations were performed total IgE and IgE to Aspergillus Fumigatus were elevated which wassuggestive of ABPA. Case 2: A 30 yr old non-smoker hood. H/o recurrent LRTI since 3 years and was treated with various antibiotics, Hetrazan, oral/inhaled corticosteroids and bronchodilators. He presented to us with symptoms of Exacerbation investigated Total IgE and IgE to Aspergillus Fumigatus were markedly elevated which s/o ABPA. Case 3: A 21 yr old male H/o Breathlessness since childhood. Pt was admitted in GMC Belagaviand was diagnosed with R abscess and treated with IV antibiotics for a period of 10 days and was discharged on oral antibiotics for 20 days .Pt presented to us after 1 month of discharge from GMC with C/o Cough with foul smelling expectoration ,fever , Nausea, vomiting and reduced appetite .After thorough investigation which showed increase in Total IgE and IgE to Aspergillus Fumigatus which s/o ABPA

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