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Radioaerosol Imaging Predicts the Utility of Aerosolized Antifungal Therapy in Allergic Bronchopulmonary Aspergillosis

Rodriguez, Karen, MD; Siegel, Alan, MD

doi: 10.1097/RLU.0000000000002264
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A 10-year-old girl with a history of complicated cystic fibrosis was hospitalized for pulmonary exacerbation with allergic bronchopulmonary aspergillosis and severe right upper lobe bronchiectasis diagnosed with chest radiograph and CT. She was started on itraconazole during the hospitalization in attempt to decrease her systemic steroid dose, but she had ongoing coughing and wheezing. The possibility was raised that the right upper lobe bronchiectasis may be a nidus for ongoing aspergillosis. Radioaerosol imaging was performed to determine whether the aerosolized antifungals would reach the area of bronchiectasis.

From the Dartmouth-Hitchcock Medical Center, Lebanon, NH.

Received for publication June 5, 2018; revision accepted July 21, 2018.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Alan Siegel, MD, Department of Radiology, Dartmouth-Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756. E-mail: alan.h.siegel@hitchcock.org.

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.