2. Aspergillosis
Although less common than tuberculosis, aspergillosis should also be
considered in the differential diagnosis, particularly in
immunocompromised individuals. Patients with aspergillosis may present
with symptoms like TB, including hemoptysis, fever, and weight loss
(14).
Tuberculosis and aspergillosis should emerge as significant
considerations. The high prevalence of TB in Iran, along with the
clinical and radiological findings, warrants thorough diagnostic
evaluation, including sputum smear microscopy, culture, and potentially
imaging-guided biopsy (15). It’s crucial to recognize the limitations of
diagnostic tests and maintain a high index of suspicion, especially in
regions endemic for tuberculosis.