“…Disease manifestation included the following: pleuritis, 80 pneumonitis, 74 pneumonia, 76,77 rhinosinusitis 78 and pansinusitis, 79 the most common symptoms being fever, chest pain, respiratory distress, tachypnea, lung crackles, dyspnoea, cough, night sweat, chills, purulent sputum, numerous areas of consolidation, oedema and abscesses. Underlying diseases that favoured the infection were leukaemia, 21 renal transplant, 75 AIDS, 73 chronic granulomatous disease, 77 colon adenocarcinoma, 80 midline granuloma 79 and diabetes 85,86 . Diagnosis was based on the presence of the fungus on sputum, 73 BAL cultures, 80,85 abscesses cultures or abscesses biopsies, 20,21,75 blood culture 80 or chest CT 20,21,73,85,86 …”