ALLERGIC BRONCHOPULMONARY ASPERGILLOSIS WITH ASPERGILLOMA MIMICKING FIBROCAVITARY PULMONARY TUBERCULOSIS

A 47-year-old male, who presented with chronic fibrocavitary pulmonary disease, had received three courses of antituberculous therapy over a period of 17 years without relief. Four years prior to referral he ha d developed hemoptysis and rhinitis. Evaluation of the patient led to the diagnosis of allergic bronchopulmonary aspergillosis with coexiste nt aspergilloma, a rather uncommon association. Both his pulmonary and nasal symptoms showed a remarkable response to treatment with oral pr ednisolone. However, the possibility of concomitant allergic Aspergill us sinusitis remained open as the patient refused to undergo any invas ive procedure.