title: Lesson of the month 1: A cough that doesn't fit the mould.
abstract: Aspergillus disease has a wide spectrum of manifestations within the lungs; however invasive Aspergillus is most commonly associated with immunocompromise or pre-existing respiratory disease. Here we present a case of Aspergillus tracheobronchitis causing right middle lobe collapse, masquerading as late-onset asthma in a patient with no pre-existing risk factors following massive inhalation of Aspergillus spores from working with compost. This case highlights the importance of having a high index of suspicion for Aspergillus-related disease even in those with no traditional risk factors.
authors.affiliation: North Bristol Lung Centre, Southmead Hospital, Bristol, UK.
authors.forename: Christina
authors.initials: C
authors.lastname: Baggott
authors.affiliation: Academic Respiratory Unit, University of Bristol, Bristol, UK.
authors.forename: Charles
authors.initials: C
authors.lastname: Sharp
authors.affiliation: Department of histopathology, University Hospitals Bristol, Bristol, UK.
authors.forename: Nidhi
authors.initials: N
authors.lastname: Bhatt
authors.affiliation: North Bristol Lung Centre, Southmead Hospital, Bristol, UK.
authors.forename: Martin
authors.initials: M
authors.lastname: Plummeridge
authors.affiliation: Bristol Interstitial Lung Disease Service, North Bristol Lung Centre, Southmead Hospital, Bristol, UK huzaifa.adamali@nbt.nht.uk.
authors.forename: Huzaifa
authors.initials: H
authors.lastname: Adamali
mesh_terms: D000368:Aged; D004781:Environmental Exposure; D006801:Humans; D008297:Male; D055732:Pulmonary Aspergillosis / Q000175:diagnosis*
keywords: Aspergillus tracheobronchitis; immunocompetent; invasive Aspergillus; spore inhalation