Fungal ball presenting as Haemoptysis

Abstract

Aspergillus species are ubiquitous molds found in organic matter. Aspergillus primarily affects the lungs, causing 4 main conditions likes, allergic bronchopulmonary aspergillosis (ABPA), chronic necrotizing pulmonary aspergillosis (CNPA), aspergilloma, and invasive aspergillosis. The term aspergilloma (fungal ball) was first used by Dave almost a century later to describe a discrete lesion that classically colonizes the cavities of healed pulmonary tuberculosis and other fibrotic lung diseases 1. The true incidence of aspergilloma is exactly not known. Aspergilloma develops from secondary colonization of preexisting lung cavities.. Natural history of aspergilloma is variable. Aspergilloma clinically presented as mild to severe hemoptysis, which may be life threatening2. Here we are presenting a case of pulmonary aspergilloma in a 55 year old, non smoker male, who presented as recurrent haemoptysis.