Case Report: Atypical pediatric allergic bronchopulmonary aspergillosis masquerading as recurrent pneumonia
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By
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Jingjing Ying
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Jin Chen
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Danhong Fei
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Yongjun Dai
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Cheng Zheng
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May 18, 2026
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Clinical Scorecard: Uncommon Presentation of Pediatric Allergic Bronchopulmonary Aspergillosis Simulating Recurrent Pneumonia: A Case Study
At a Glance
| Category | Detail |
|---|
| Condition | |
| Key Mechanisms | |
| Target Population | Pediatric patients with difficult-to-treat asthma, often misdiagnosed as pneumonia |
| Care Setting | |
Key Highlights
- Consider ABPA in differential diagnosis for children with recurrent respiratory infections
Guideline-Based Recommendations
Diagnosis
- Aspergillus fumigatus-specific IgE ≥ 0.35 kUA/L
- Total serum IgE ≥ 500 IU/mL
- Pulmonary infiltrates on imaging consistent with ABPA
Management
Monitoring & Follow-up
Risks
Patient & Prescribing Data
Combination therapy with itraconazole (specific dosage) and corticosteroids effective in managing ABPA
Clinical Best Practices
- Educate healthcare providers on the importance of recognizing ABPA in pediatric patients
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