Asbestosis,endobronchialAspergillus infection,and bronchocentric granulomatosis presenting with hemoptysis

A patient with pulmonary asbestosis developed hemoptysis and a lesion on chest radiograph secondary to bronchocentric granulomatosis (BG) associated withAspergillus fumigatus. Although pulmonaryAspergillus infection is a known complication of asbestos exposure, BG has not been previously reported in this disorder. This patient’s case further documents thatAspergillus hyphae may be present in BG unassociated with allergic bronchopulmonary aspergillosis. A wide range of processes affecting airways, including asbestos exposure, may be associated with bronchocentric granulomatosis.