• Clin Med (Lond) · Oct 2015

    Case Reports

    Lesson of the month 1: A cough that doesn't fit the mould.

    • Christina Baggott, Charles Sharp, Nidhi Bhatt, Martin Plummeridge, and Huzaifa Adamali.
    • North Bristol Lung Centre, Southmead Hospital, Bristol, UK.
    • Clin Med (Lond). 2015 Oct 1; 15 (5): 492494492-4.

    AbstractAspergillus disease has a wide spectrum of manifestations within the lungs; however invasive Aspergillus is most commonly associated with immunocompromise or pre-existing respiratory disease. Here we present a case of Aspergillus tracheobronchitis causing right middle lobe collapse, masquerading as late-onset asthma in a patient with no pre-existing risk factors following massive inhalation of Aspergillus spores from working with compost. This case highlights the importance of having a high index of suspicion for Aspergillus-related disease even in those with no traditional risk factors.© Royal College of Physicians 2015. All rights reserved.

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