Mahmuda Begum1, Mustaq Adnan1, AHM Raihanuzzaman Sarkar2, Mohammed Kamrul Hasan1,
Md.Khairul Hassan Jessy3

Abstract:
An aspergilloma is a fungal ball (mycetoma) that develops in a pre-existing cavity in the lung parenchyma.
Underlying causes of the cavitary disease may include treated tuberculosis or other necrotizing infection,
sarcoidosis, bronchiectasis, pulmonary neoplasm and emphysematous bullae. It may occur in cystic
areas resulting from prior Pneumocystis jiroveci pneumonia in patients with HIV infection. The ball of
fungus may move within the cavity but does not invade the cavity wall. Affected patients are usually
asymptomatic but may occasionally present with haemoptysis due to involvement of bronchial arteries.
Haemoptysis may also be due to pulmonary artery pseudoaneurysms which are rarely associated with
aspergilloma. We report a case of previously sputum positive tuberculosis now sputum negative presented
with hemoptysis complicated by huge pulmonary Aspergilloma.
Keywords: Aspergilloma; Tuberculosis.

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