Abstract
Summary Allergic Bronchopulmonary Aspergillosis (ABPA) can cause dyspnoea in patients without a past history of asthma and with a normal eosinophil count. ABPA usually occurs in patients with a pre-existing history of asthma—it is unusual in non-asthmatic patients [Greenberger PA, Patterson R. Allergic bronchopulmonary aspergillosis and the evaluation of the patient with asthma. J Allergy Clin Immunol 1988; 81 :646–50]. It is important not to miss the diagnosis of ABPA as delayed treatment can lead to irreversible pulmonary fibrosis [Basich JE, Graves TS, Baz MN, et al. Allergic bronchopulmonary aspergillosis in corticosteroid-dependent asthmatics. J Allergy Clin Immunol 1981; 68 :98–102]. We describe the case of a patient with ABPA, with no past history of asthma and a normal eosinophil count, whose initial presentation mimicked tuberculosis.
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