A rare case report of allergic bronchopulmonary aspergillosis with active pulmonary tuberculosis

Allergic bronchopulmonary aspergillosis (ABPA) is a disorder caused by a hypersensitivity reaction to antigens of Aspergillus fumigatus and is commonly seen in patients suffering from bronchial asthma or cystic fibrosis. ABPA in patients with active pulmonary tuberculosis a rare finding because tuberculosis, being very common in this part of the world, often masks the clinical features of ABPA. A high index of suspicion is thus necessary to confirm the presence of the latter in patients with atypical presentations. We wish to report two such cases, in which ABPA was diagnosed while the patient was receiving anti-tubercular therapy.