year old male presents with a history of fever and skin rash. He has been
reasonably well in the past apart from his GP treating him with inhalers for
recent onset asthma.
examination he appears to have lost weight, he has a widespread purpuric rash
and on auscultation of his chest you hear widespread rhonchi.
Neutrophils 5 x109/L
Lymphocytes 2 x109/L
Eosinophils 15 x109/L
Chest X-ray shows patchy bilateral shadows
this patient the most likely diagnosis is?
Allergic bronchopulmonary aspergillosis
Tropical pulmonary eosinophilia