Pulmonary Aspergilloma

A 51-year-old man from the Democratic Republic of Congo presented with hemoptysis, revealing a pulmonary aspergilloma in a pre-existing lung cavity from prior tuberculosis. Imaging showed a new intracavitary mass and wall thickening. Serology confirmed aspergillus-specific IgG. Microscopy demonstrated septate hyphae with acute angle branching; cultures identified Aspergillus fumigatus. Treatment with voriconazole was initiated, but the patient was lost to follow-up and later returned with massive hemoptysis requiring arterial embolization.

A 51-year-old man from the Democratic Republic of Congo presented with hemoptysis, revealing a pulmonary aspergilloma in a pre-existing lung cavity from prior tuberculosis. Imaging showed a new intracavitary mass and wall thickening. Serology confirmed aspergillus-specific IgG. Microscopy demonstrated septate hyphae with acute angle branching; cultures identified Aspergillus fumigatus. Treatment with voriconazole was initiated, but the patient was lost to follow-up and later returned with massive hemoptysis requiring arterial embolization.