Case Report Cavitating lung disease due to concomitant drug resistant tuberculosis and invasive pulmonary Aspergillosis in a post-partum patient: A case report Animesh Ray a , J.C. Suri b,* , M.K. Sen c , S. Chakrabarti c , Ayush Gupta a , Malini Capoor d a Senior Resident, Department of Pulmonary, Critical Care & Sleep Medicine, Vardhman Mahavir Medical College, & Safdarjang Hospital, New Delhi, India b Professor, Consultant Chest Physician & Head of Department, Department of Pulmonary, Critical Care & Sleep Medicine, Vardhman Mahavir Medical College, & Safdarjang Hospital, New Delhi 110029, India c Associate Professor & Consultant Chest Physician, Department of Pulmonary, Critical Care & Sleep Medicine, Vardhman Mahavir Medical College, & Safdarjang Hospital, New Delhi, India d Associate Professor & Senior Microbiologist, Department of Pulmonary, Critical Care & Sleep Medicine, Vardhman Mahavir Medical College, & Safdarjang Hospital, New Delhi, India article info Article history: Received 27 February 2014 Accepted 12 December 2014 Available online 12 March 2015 Keywords: Invasive pulmonary aspergillosis Drug resistant tuberculosis Pregnancy associated tuberculosis abstract Many disorders can present as cavitating lesions in the lung. In this case report, a case of mixed infection with drug resistant tuberculosis and invasive pulmonary aspergillosis in a post-partum patient has been presented. © 2015 Tuberculosis Association of India. Published by Elsevier B.V. All rights reserved. 1. Introduction Cavitating lung lesions can arise due to various causes e both infectious and non-infectious. In most of the cases meticulous clinical examination and appropriate investigations can pinpoint the cause. Rarely in some cases might more than one cause be responsible. Pulmonary tuberculosis is a common cause of cavitating lesions in our region. Fungal infections of the lung due to Aspergillus species are well known. The prin- cipal forms of pulmonary aspergillosis include colonizing aspergillosis, invasive aspergillosis and allergic aspergillosis. Aspergilloma with pulmonary tuberculosis usually occurs in upper lobes in approximately 94% of cases. 1 Of the long term sequelae of pulmonary tuberculosis, chronic pulmonary aspergillosis is perhaps the most severe. 2 Clinical algorithms to discriminate. * Corresponding author. Tel.: þ91 011 26190958, þ91 9810097259. E-mail address: docjcsuri@gmail.com (J.C. Suri). Available online at www.sciencedirect.com ScienceDirect journal homepage: http://www.journals.elsevier.com/indian- journal-of-tuberculosis/ indian journal of tuberculosis 62 (2015) 50 e53 http://dx.doi.org/10.1016/j.ijtb.2015.02.009 0019-5707/© 2015 Tuberculosis Association of India. Published by Elsevier B.V. All rights reserved.