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This 53-year old man with a history of persistent hemosputum was admitted for mitral valve surgery. At the age of 32 he was diagnosed with a pulmonary abscess. His blood pressure, heart rate, and body temperature were 116/66 mmHg, 68 bpm, and 36.8°C, respectively. His breath sounds were clear, CRP was 0.74 mg/dl, WBC was 11400/ μl. Beta-D glucan and Aspergillus species antigen levels were normal. Other laboratory findings were also normal.