PT - JOURNAL ARTICLE AU - Christina Baggott AU - Charles Sharp AU - Nidhi Bhatt AU - Martin Plummeridge AU - Huzaifa Adamali TI - Lesson of the month 1: A cough that doesn't fit the mould AID - 10.7861/clinmedicine.15-5-492 DP - 2015 Oct 05 TA - Clinical Medicine PG - 492--494 VI - 15 IP - 5 4099 - http://www.rcpjournals.org/content/15/5/492.short 4100 - http://www.rcpjournals.org/content/15/5/492.full SO - Clin Med2015 Oct 05; 15 AB - Aspergillus disease has a wide spectrum of manifestations within the lungs; however invasive Aspergillus is most commonly associated with immunocompromise or pre-existing respiratory disease. Here we present a case of Aspergillus tracheobronchitis causing right middle lobe collapse, masquerading as late-onset asthma in a patient with no pre-existing risk factors following massive inhalation of Aspergillus spores from working with compost. This case highlights the importance of having a high index of suspicion for Aspergillus-related disease even in those with no traditional risk factors.