Allergic Bronchopulmonary Aspergillosis with massive hemoptysis mimicking pulmonary tuberculosis

Abstract

Allergic bronchopulmonary aspergillosis (ABPA) is a type II hypersensitivity lung disease induced by bronchial colonization of fungus, Aspergillus fumigatus that commonly occurs in patients with asthma or cystic fibrosis. We present a case of 65year-old Brahmin man, non smoker and non atopic who presented with increasing hemoptysis, initially suspected as pulmonary tuberculosis and later diagnosed as ABPA. He was managed with oral prednisolone 0.5mg/kg/day for 14 days followed by gradual tapering over the period of 6 weeks with remarkable response.