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Previous Volume 345:443-449 August 9, 2001 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 46-year-old woman was admitted to the hospital because of recurrent hemoptysis.

Eight months earlier, a cough, nonpleuritic left-sided chest pain, and fatigue had developed, with minor episodes of hemoptysis. A tuberculin skin test was positive, with 20 mm of induration. A computed tomographic (CT) scan of the thorax performed elsewhere was said to show evidence of distal bronchiectasis and mucoid impaction. Sputum examination revealed no acid-fast bacilli. The following month, bronchoscopic examination showed no abnormalities, and culture of bronchoalveolar-lavage fluid yielded a single colony of Aspergillus niger and was negative for acid-fast bacilli. Isoniazid and rifampin were administered for . . . [Full Text of this Article]

Differential Diagnosis

Sinopulmonary Syndromes

Allergic Fungal Sinusitis

Allergic Bronchopulmonary Aspergillosis

Conclusions

Clinical Diagnoses

Dr. John F. Beamis's Diagnosis

Pathological Discussion

Anatomical Diagnoses

References

This article has been cited by other articles:

• Hanson, B. L., Sztern, B., Lange, J. H., Prezant, D., Weiden, M., Kelly, K. J. (2003). Cough and Bronchial Responsiveness in Firefighters at the World Trade Center Site. NEJM 348: 76-77 [Full Text]  
• Venarske, D. L., deShazo, R. D. (2002). Sinobronchial Allergic Mycosis* : The SAM Syndrome. Chest 121: 1670-1676 [Abstract] [Full Text]