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Even when the clinical suspicion is high, the disease is commonly confused with other chronic suppurative lung diseases and with malignancy.<\/jats:p><jats:p>An early, accurate diagnosis will prevent the considerable psychological and physical morbidity, including unwarranted surgery, associated with delayed diagnosis.<\/jats:p><jats:p>The clinical, radiological and therapeutic characteristics of the infection are reviewed here.<\/jats:p><jats:p>Respiratory physicians should be aware of this important differential when investigating patients for persistent pulmonary shadowing. 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