Aggarwal, Ramesh; Dwivedi, Shridhar; Aggarwal, Meenakshi
May 2013
Annals of Tropical Medicine & Public Health;May/Jun2013, Vol. 6 Issue 3, p345
Academic Journal
Aspergilloma represents one of the many manifestations of fungus Aspergillus and usually occurs in preexisting lung cavities. It may be asymptomatic or presents sometimes with massive hemoptysis requiring urgent intervention. This patient was not suffering from any predisposing factors for acquiring fungal ball except chronic tobacco use and possible development of COPD. His symptoms and radiological features were suggestive of pulmonary tuberculosis. However as his tuberculin test and sputum were negative, a possibility of fungal ball was kept which was later confirmed by CT scan of chest. The case highlights the role of tobacco in compromising immune status of patient giving way for acquisition of fungal ball in lungs and the role of imaging in early diagnosis of these disorders.


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