Abstract

Case presentation: We present the case of a diabetic 73 year old male who worked as a farmer, with infiltrates in the right lower and middle lung lobes and with previous diagnosis of chronic obstructive bronchitis. Evaluation of our patient led to the diagnosis of allergic bronchopulmonary aspergillosis in the right lower and middle lobe. Fungal stains were positive for aspergillus. Based on the clinical, radiological and cytological findings, the patient was diagnosed with pulmonary aspergillosis and treated successfully with oral itraconazole and methylprednisolone. Systemic antifungal therapy plays an important role in preventing the morbidity and mortality. He was treated with oral methylprednisolone and itraconazole. Conclusion: Aspergillus infection after the inhalation of spores in the form of a hypersensitivity reaction and saprophytic colonization can be coexistent.

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