A 32-year-old farmer was admitted to the hospital with complaints of exertional dyspnea, cough with brownish sputum, and fever from the last four days. The patient had a medical history of bronchial asthma since childhood and took an albuterol inhaler for it.
The family history of the patient was remarkable for cystic fibrosis (brother) and lung cancer (father). Laboratory findings: Eosinophil count: 756 cells/uL Total IgE level: 3500 IU/mL Radiologic findings: A chest X-ray revealed a cystic lesion in the right upper zone ย ย