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A renal aspergilloma--an unusual presentation of aspergillosis in an HIV patient.

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.