“…To treat tubercular pulmonary sequelae, such as destroyed lung, bronchiectasis, hemorrhages, fistula formation, and cavern tuberculosis 3. To differentiate a tuberculous lesion from lung cancer 6,7,11,12 Although clearly outside the generally accepted criteria, we chose resection as the primary treatment for our patient for the following reasons: first, the chemotherapy regimen did not include pyrazinamide because of its hepatotoxicity and the conservative treatment was proving ineffective; and second, polymerase chain reaction analysis strongly indicated an Aspergillus coinfection. Consequently, surgical resection had many benefits.…”