Uncommon Presentation of Allergic Bronchopulmonary Aspergillosis During the COVID-19 Lockdown

A Case Report

Daniela Savi; Giada Valente; Alessandra Iacovelli; Federica Olmati; Mario Bezzi; Paolo Palange


BMC Pulm Med. 2020;20(325) 

In This Article

Abstract and Introduction


Background: During the ongoing pandemic of coronavirus disease 2019 (COVID-19), lockdown periods have changed the way that people and communities live, work and interact.

Case Presentation: This case report describes an uncommon but important presentation of allergic bronchopulmonary aspergillosis (ABPA) in a previously healthy male, who decided to live in the basement of his house when Italy entered a nationwide lockdown during the COVID-19 pandemic. As high resolution computed tomography (HRCT) of the chest on admission showed diffuse miliary nodules, a miliary tuberculosis was initially suspected. However, further investigations provided a diagnosis of unusual presentation of ABPA.

Conclusions: This case highlights the importance of maintaining awareness of Aspergillus-associated respiratory disorders during the COVID-19 pandemic, especially because lifestyle changes associated with home isolation carry an increased risk of exposure to mold spores present in some indoor environments.