We are actually dealing with this right now. Kayla had been sick for a while, and after two weeks of oral Cipro and Bactrim, still not feeling great. Last Friday she had what I thought an asthma attack would be (neither one of my girls have asthma, that I am aware of). I called the pulmo on call at the hospital and they had me give her albuterol, which seemed to help.
I called clinic on Monday, and they had me bring her in for admittance. The first thing the admitting CF dr mentioned was ABPA. It actually had never really crossed my mind. She was tested for allergies about two years ago, and she was allergic to trees and molds, including asperillius. She cultured aspergillus two years ago, but it went away on it's own. Their CF dr said just b/c she cultured it doesn't mean she was allergic to it.
In the past four years or so her IgE levels have been over 500, each year going up a bit. Last month they were 1073 and on Monday they came back at over 1100. So, she was further tested for ABPA. Our hospital does three different tests to confirm ABPA, and all three came back positive.
Kayla did PFTs yesterday, and they were at 80%--she was at 105% one month ago. So she had a significant drop.
She is on three IV antibiotics right now. We are not treating for the ABPA yet. They want to make sure how aggresive they need to be with it, but want to make sure how much it is actually affecting her. She will re-do PFTs on Tuesday, and if they are better, then we know it's the MRSA or Cepacia that is causing her problems. If they are not up, then it very well can be the ABPA, and we will need to treat it agressively.
The drs also looked back at her CT scan that was done two years ago, and they said that the brochiastis (sp?) that she has is consistent with ABPA.
I'm sorry if this is TMI, but since I am going through all this right now, I was on a role<img src="i/expressions/face-icon-small-smile.gif" border="0">