BMJ Case Reports 2012; doi:10.1136/bcr-03-2012-6018
  • Reminder of important clinical lesson

Chronic cavitating pulmonary aspergillosis with lung abscess

  1. Reena Kotecha
  1. Department of Medicine, The Lister Hospital, Stevenage, UK
  1. Correspondence to Dr Kathryn Musgrave, kathrynmusgrave{at}; kathrynpullman{at}


This is a case of chronic cavitating pulmonary aspergillosis complicated by bacterial infection in a 71-year-old gentleman. He had a history of chronic obstructive pulmonary disease (COPD; severe, Forced expiratory volume in 1 s=0.94) and was treated with Seretide and Tiotropium. Prior to this illness he had a good functional status. He presented with a 1-month history of progressive shortness of breath. Chest radiograph showed a large well-demarcated cavity in the …

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