Case Report: Atypical pediatric allergic bronchopulmonary aspergillosis masquerading as recurrent pneumonia

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Allergic bronchopulmonary aspergillosis (ABPA) is often misdiagnosed in children with asthma, leading to unnecessary treatments and potential lung damage.
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An 11-year-old girl with recurrent pneumonia episodes was ultimately diagnosed with ABPA after comprehensive evaluation and testing.
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Key diagnostic criteria for ABPA include elevated total IgE, Aspergillus-specific IgE, and pulmonary infiltrates on imaging.
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Treatment with systemic corticosteroids and itraconazole resulted in rapid clinical improvement and significant reduction in total IgE.
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This case emphasizes the importance of considering ABPA in pediatric patients with difficult-to-treat asthma and recurrent respiratory infections.

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