Bilateral renal aspergillosis with a fungal cast masquerading as renal malignancy

Jyoti Mohan Tosh1, Shiv Charan Navriya2, Shruti Agrawal3

  • 1Urology, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.

BMJ Case Reports
|February 2, 2023
PubMed

Insights

Invasive renal aspergilloma is a rare fungal infection in immunocompetent patients. Early diagnosis and management are crucial to prevent severe kidney complications.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Urology

Background:

  • Invasive isolated renal aspergilloma is exceptionally rare in immunocompetent individuals.
  • This condition presents a diagnostic challenge, often mimicking renal masses.

Observation:

  • A case report detailing an immunocompetent patient with invasive isolated renal aspergilloma.
  • Atypical radiological findings prompted further investigation beyond typical renal masses.

Findings:

  • Renal fungal infections, specifically aspergilloma, must be considered in the differential diagnosis of renal masses.
  • Prompt and accurate investigations are essential for timely intervention.

Implications:

  • Early recognition and management of renal aspergilloma can prevent severe outcomes like end-stage renal disease.
  • This case underscores the importance of considering fungal infections in urological diagnoses with unusual presentations.