Abstract
Aspergilloma is a fungus ball composed of hyphae, fibrin, mucus, and cellular debris found within a pulmonary cavity.The pre-existing cavities are secondary to tuberculosis,sarcoidosis, bronchial cysts, bullae, ankylosing spondylitis, neoplasm and pulmonary infarction. Chronic cavitary pulmonary aspergillosis is defined as a pattern of disease in immunocompetent patients in whom there is formation and enlargement of one or more cavities over months. Usual clinical presentation is haemoptysis with or without chronic cough, but may remain asymptomatic. Intracavitary mobile mass is an important sign on CT scan. Aspergilloma is often misdiagnosed as lung cancer or tuberculosis. The older term complex aspergilloma is no longer used because majority of such patients won’t have an aspergilloma visible radiologically. Nearly all patients with chronic cavitary pulmonary aspergillosis have Aspergillus IgG antibodies in the blood.
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