An unusual presentation of pulmonary aspergilloma and review of available literature

INTRODUCTION: Aspergilloma is a non-invasive form of pulmonary aspergillosis usually presenting as a clump of mold in pre-existing cavitary lung disease. Aspergillus related lung diseases have been classified into four types, whose manifestation is often related to previous lung diseases and host immunologic status.CASE REPORT: Cases of cavitary pulmonary aspergillosis without any evidence of pre-existing cavities, are rarely reported. We present here a case of pulmonary aspergillosis in which cavity formation appeared apparently after the establishment of infection.CONCLUSIONS: The occurrence of atypical presentations and the importance of recognizing these unusual cases of pulmonary aspergilloma is discussed.