Allergic bronchopulmonary aspergillosis (ABPA) is a hypersensitivity reaction to colonized Aspergillus species, that typically occurred in asthmatic patients. A 79-year-old man was admitted with low-grade fever and infiltrate and bronchiectasis of the left lung. He had no asthmatic symptoms, but showed eosinophilic pleural effusion. He was diagnosed with ABPA due to the following Rosenberg's criteria: peripheral blood eosinophilia, a high serum IgE level, positive precipitating serum antibodies to Aspergillus, immediate skin reaction to Aspergillus antigens, pulmonary infiltrate, and central bronchiectasis. This case was successively controlled by the addition of an antifungal agent to corticosteroids used as monotherapy, the eosinophilic pleural effusion was also improved. This is the third reported case of ABPA with eosinophilic pleural effusion. We discuss the association between ABPA and pleural effusion, and the efficacy of the combination of corticosteroids and antifungal therapy for ABPA.