RT Journal Article SR Electronic T1 Lesson of the month 1: A cough that doesn't fit the mould JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 492 OP 494 DO 10.7861/clinmedicine.15-5-492 VO 15 IS 5 A1 Christina Baggott A1 Charles Sharp A1 Nidhi Bhatt A1 Martin Plummeridge A1 Huzaifa Adamali YR 2015 UL http://www.rcpjournals.org/content/15/5/492.abstract 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.