Allergic Bronchopulmonary Aspergillosis (ABPA) misdiagnosed as Pulmonary Tuberculosis

Allergic Bronchopulmonary Aspergillosis (ABPA) is a syndrome associated with asthma, manifesting as transient pulmonary infiltrates and eosinophilia which can progress to severe proximal bronchiectasis, and pulmonary fibrosis. Clinicoradiologically it is similar to pulmonary tuberculosis hence most cases of ABPA are usually misdiagnosed as pulmonary tuberculosis resulting in delay in diagnosis as well as treatment which predisposes them to complications and potentially toxic anti–tubercular therapy (ATT). Here we report a case of ABPA masquerading as tuberculosis in a 67 year old female .