Respiratory investigation · 2025
Role of bronchoscopic mucus plug removal in the diagnosis and treatment of allergic bronchopulmonary mycosis using the new criteria: A single-centre, retrospective study.
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Takigawa Yuki, Sato Ken, Matsumoto Shoichiro, Ichikawa Takeru, Inoue Tomoyoshi, Matsuoka Suzuka, Watanabe Hiromi, Kudo Kenichiro, Sato Akiko, Fujiwara Keiichi
Аннотация
BACKGROUND: The allergic bronchopulmonary mycosis (ABPM) diagnostic criteria that were proposed in 2019 have proven useful in clinical practice due to their high sensitivity and specificity for ABPM diagnosis. By these new criteria, bronchoscopy may be required for diagnosis and treatment of ABPM. Here, we retrospectively reviewed our experience at the NHO Okayama Medical Center to determine the effectiveness of bronchoscopic examination in the management of patients with ABPM.
METHOD: We analyzed the background, laboratory data, computed tomography images, and bronchoscopy results of patients diagnosed with ABPM who were treated at Okayama Medical Center between October 2020 and March 2024.
RESULT: Five of the 10 patients met the new diagnostic criteria for ABPM before bronchoscopic examination. However, after bronchoscopy findings were analyzed, all patients (10/10) met the new inclusion criteria. Fungi cultured from the mucus plugs obtained in four cases as well as cytology revealed the presence of fungus in the mucus plug in six cases. Three patients showed clinical improvement after bronchoscopic removal of the mucus plug.
CONCLUSION: Bronchoscopy performed as part of the new ABPM diagnostic criteria were shown to be efficacious for the diagnosis and treatment of ABPM in our institution.
METHOD: We analyzed the background, laboratory data, computed tomography images, and bronchoscopy results of patients diagnosed with ABPM who were treated at Okayama Medical Center between October 2020 and March 2024.
RESULT: Five of the 10 patients met the new diagnostic criteria for ABPM before bronchoscopic examination. However, after bronchoscopy findings were analyzed, all patients (10/10) met the new inclusion criteria. Fungi cultured from the mucus plugs obtained in four cases as well as cytology revealed the presence of fungus in the mucus plug in six cases. Three patients showed clinical improvement after bronchoscopic removal of the mucus plug.
CONCLUSION: Bronchoscopy performed as part of the new ABPM diagnostic criteria were shown to be efficacious for the diagnosis and treatment of ABPM in our institution.