CASE PRESENTATION: A 29 year old female, with history of prior treatment for pulmonary tuberculosis and bronchial asthma, presented with fever, dry cough and right sided chest pain for 15 days duration. On evaluation the chest radiograph showed left upper zone non homogenous consolidation with right pleural effusion. On thoracocentesis, thick fluid was drained. The fluid was exudative and cultures for bacterial or mycobacterial etiology were sterile. Fungal cultures of the fluid were inconclusive. Serum Immunoglobulin E was 21,943 kUA/L. When initial management with empirical antibiotics showed no response, patient was started on Voriconazole and Prednisolone. Thoracoscopic evaluation was planned but patient started to clinically improve and radiological resolution started after 10 days.