Auregan G, Scandela B
Centre pneumophtisiologique Paul Faure, Djibouti.
Rev Pneumol Clin. 1988;44(4):190-1.
In an 18-year old male patient a large cavity of the right upper lobe was occupied first by a tuberculous sequestration, then 2 years later, by a fungus ball. This case shows that the so-called "sleigh-bell" image is not pathognomic of aspergilloma and that this disease is far from being exceptional in Africa.