A renal aspergilloma – an unusual presentation of aspergillosis in an HIV patient

D Meya, I Lwanga, A Ronald, E Kigonya

Abstract
Background: Aspergillosis is a fungal infection occasionally found in immunosuppressed patients. The recommended management of patients with renal aspergilloma remains unclear.
Methods: An HIV patient presented with flank pain and an abdominal mass. Renal aspergilloma was diagnosed.
Results: The patient with CD4 above 200 did well with nephrectomy followed by amphotericin therapy for 14 days.
Conclusions: The merits of surgery followed by antifungal chemotherapy or vice versa are limited. More studies are needed to ascertain the most effective method of treatment for Aspergillosis in HIV patients.