Vanishing primary lung aspergilloma in young female with diabetes mellitus

Abstract

Aspergilloma is a saprophytic infection caused by Aspergillus fumigatus. It is common but frequently misdiagnosed clinical condition. It is usually diagnosed in patients with a long standing history of tuberculosis and other diseases leading to cavity formation. Although, primary Aspergilloma also seen in immune compromised patient without previous history of cavitary lung disease. Aspergilloma have unique radiological manifestation. Very rarely, they have been resolved without surgical intervention. We hereby report a case of primary Aspergilloma in cavitatory lung mass presenting with hemoptysis in young diabetic female. The establishment of Aspergilloma as the underlying diagnosis led to conservative medical treatment which was followed by complete resolution of the cavitary mass like opacity. The present case highlights that Aspergilloma can be conservatively managed with antifungal therapy leads to disappearance of lesion. Keywords: CECT thorax; Hemoptysis; Primary aspergilloma.