A 34-year-old woman comes to the office for evaluation of recurrent transient pulmonary infiltrates. The patient has a history of bronchial asthma and has had several exacerbations over the past few years, particularly during the winter months. She is currently asymptomatic. She has no other medical problems and has never traveled outside the United States. Her medications include albuterol as needed and medium-dose inhaled glucocorticoids. Temperature is 37.1 C (98.8 F). Physical examination is unremarkable. Complete blood count shows eosinophilia. A chest CT scan reveals proximal bronchiectasis. This patient's condition is most likely related to colonization with which of the following?

Question

A 34-year-old woman comes to the office for evaluation of recurrent transient pulmonary infiltrates.  The patient has a history of bronchial asthma and has had several exacerbations over the past few years, particularly during the winter months.  She is currently asymptomatic.  She has no other medical problems and has never traveled outside the United States.  Her medications include albuterol as needed and medium-dose inhaled glucocorticoids.  Temperature is 37.1 C (98.8 F).  Physical examination is unremarkable.  Complete blood count shows eosinophilia.  A chest CT scan reveals proximal bronchiectasis.  This patient's condition is most likely related to colonization with which of the following?

Quizplus · Accepted Answer

Eductional Objective: Allergic bronchopulmonary aspergillosis (ABPA) due to Aspergillus fumigatus may complicate asthma.  ABPA can result in transient recurrent pulmonary infiltrates and eventual proximal bronchiectasis.

A 34-Year-Old Woman Comes to the Office for Evaluation of Recurrent