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October 1983

Lipid Pneumonia With Atypical Mycobacterial Colonization: Association With Allergic Bronchopulmonary Aspergillosis

Author Affiliations

From the Section of Allergy-Immunology, Departments of Medicine (Dr Greenberger) and Pathology (Dr Katzenstein), Northwestern University Medical School, Chicago. Dr Katzenstein is now with the Department of Pathology, University of Alabama Hospitals, Birmingham.

Arch Intern Med. 1983;143(10):2003-2005. doi:10.1001/archinte.1983.00350100187035

• Exogenous lipid pneumonia following bronchography occurred in a woman with allergic bronchopulmonary aspergillosis (ABPA) whose bronchi had been colonized with Mycobacterium chelonei chelonei for the previous year. The lung biopsy specimen disclosed organisms within lipid vacuoles in the areas of lipid pneumonia, while caseating granulomas, the usual tissue reaction to pathogenic mycobacteria, were absent. These pathologic findings suggested that the infection with M chelonei was noninvasive, and we were able to continue the corticosteroid therapy that was necessary for control of the underlying ABPA.

(Arch Intern Med 1983;143:2003-2005)

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