[12] It can be misdiagnosed as invasive pulmonary aspergillosis or allergic bronchopulmonary aspergillosis/ABPM because of the similar clinical manifestations and imaging.[4] In our case, pathogen of S. commune was cultured in both sputum and BALF, although elevated serum eosinophil count and high total IgE and mucous plugs, the diagnostic criteria of ABPM was not met.[27]. The gene discussed is IGHE; the disease is allergic bronchopulmonary aspergillosis.