A 70-year-old man on ICU with COPD and previous tuberculosis develops a new cavity in his right upper lobe with a 'fungal ball' visible on CT. Sputum ...

Question

A 70-year-old man on ICU with COPD and previous tuberculosis develops a new cavity in his right upper lobe with a 'fungal ball' visible on CT. Sputum culture grows Aspergillus fumigatus. Serum galactomannan is negative. He is not immunocompromised. What is the most likely diagnosis?

Accepted Answer

Chronic pulmonary aspergillosis (aspergilloma)

Answer

Invasive pulmonary aspergillosis

Answer

Allergic bronchopulmonary aspergillosis (ABPA)

Answer

Aspergillus tracheobronchitis

Answer

Aspergillus colonisation with no clinical significance

uk-fficm MCQ (SBA): Chronic Pulmonary Aspergillosis

A 70-year-old man on ICU with COPD and previous tuberculosis develops a new cavity in his right upper lobe with a 'fungal ball' visible on CT. Sputum culture grows Aspergillus fumigatus. Serum galactomannan is negative. He is not immunocompromised. What is the most likely diagnosis?