Complex aspergilloma presenting as chronic dry cough: An unusual finding

Abstract

The most common symptom of aspergilloma is hemoptysis. Dry cough is a rare symptom of aspergilloma. It is estimated that 10-20% of tubercular-healed cavities are colonized by fungus. The case report discusses persistent dry cough in a 30-year-old male. Radiograph of the chest revealed left upper zone infiltrates while contrast-enhanced computed tomography of the chest revealed classical Monad sign suggestive of aspergilloma. Diagnosis was confirmed by anti-Aspergillus antibodies (100 IU/ml) and growth of Aspergillus fumigatus in sputum fungal culture.

Keywords

• Aspergilloma
• Aspergillus fumigatus
• dry cough
• Monad sign