Chronic Cavitary Pulmonary Aspergillosis with TB

Case number: 

7

Summary: 

This woman was a healthy 72 year old until 1993 when pulmonary tuberculosis of the left apex was diagnosed. She received anti-tuberculosis therapy for 9 months and improved. In February 1998 she had a massive haemoptysis and was admitted to hospital. CT scan of the thorax revealed a left upper lobe cavity (12.7cm2) with an air fluid level within it and she underwent bronchial artery embolisation. Sputum and blood cultures were negative for mycobacteria. Since that time she had been troubled with a productive cough and weight loss. In April 1999 she had another episode of frank haemoptysis and a further embolisation took place. A CT scan showed a bronchiectatic and scarred left collapsed lung and an increase in size of the left upper lobe cavity (33.6 cm2) which contained an intracavitary mass . This was a major change from 1 year previously. All investigations for mycobacteria and other pathogens were once again negative.

Species: 

  • Aspergillus fumigatus