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A random Abstract
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An "alternative" clinical course of COPD exacerbation and pulmonary embolism.
[allergic bronchopulmonary aspergillosis]
Patients
with
chronic
diseases
,
such
as
Chronic
Obstructive
Pulmonary
Disease
(
COPD
)
and
diabetes
mellitus
,
are
exposed
to
particular
complications
that
require
a
careful
diagnostic
algorithm
.
Pulmonary
Embolism
(
PE
)
in
COPD
patients
often
demands
an
accurate
differential
diagnosis
and
a
prompt
therapeutic
intervention
.
Aspergillus
spp
.
infection
comprises
a
large
spectrum
of
pathological
manifestations
,
depending
on
immune
status
and
the
presence
of
underlying
lung
disease
.
These
manifestations
may
range
from
invasive
pulmonary
aspergillosis
(
IPA
)
in
gravely
immunocompromised
patients
,
to
chronic
necrotizing
aspergillosis
(
CNA
)
in
patients
with
chronic
lung
diseases
and
moderately
compromised
immune
systems
.
Aspergilloma
is
generally
observed
in
patients
with
cavitary
lung
diseases
,
and
allergic
bronchopulmonary
aspergillosis
(
ABPA
)
is
reported
in
patients
with
hypersensitivity
to
Aspergillus
antigens
.
We
report
a
case
with
pulmonary
aspergillosis
arisen
on
a
pulmonary
infarction
after
PE
in
a
patient
with
COPD
and
diabetes
mellitus
.
To
date
,
report
with
this
clinical
evolution
was
not
reported
in
literature
.
This
report
is
intended
to
describe
an
accurate
diagnostic
path
in
a
complex
overlap
of
different
pathological
conditions
,
highlighting
the
great
importance
of
differential
diagnosis
and
an
appropriate
diagnostic
algorithm
.
In
addition
,
open
issues
on
the
real
diagnostic
value
of
clinical
,
radiological
,
and
laboratory
features
for
COPD
exacerbation
,
PE
and
aspergillosis
have
been
discussed
.
Diseases
Validation
Diseases presenting
"diabetes mellitus"
symptom
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
allergic bronchopulmonary aspergillosis
alpha-thalassemia
child syndrome
cholangiocarcinoma
cohen syndrome
congenital adrenal hyperplasia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cystinuria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
malignant atrophic papulosis
neuralgic amyotrophy
pyomyositis
sneddon syndrome
typhoid
werner syndrome
wolf-hirschhorn syndrome
This symptom has already been validated