Long fever as manifestation of pulmonary aspergilloma in a patient with tuberculosis antecedent

Abstract

We report the case of a 50-year-old male with antecedent of pulmonary tuberculosis who presents with fever syndrome for 66 days, without cough, hemoptisis or thoracic pain. The presence of fever and general symptoms (dyspnea, loss of weight) has been associated with less than 7 % of cases of pulmonary aspergilloma, and the long fever syndrome as the only way of presentation has not been described adequately before. Therefore, this case constitutes a form of infrequent presentation of pulmonary aspergiloma. An upper right lobectomy was practiced as definitive treatment with remission of the fever.