Summary

Primary renal aspergillosis is a rare urological entity and immune-compromised persons are commonly prone to it. The clinical presentation resembles that of usual bacterial pyelonephritis. We report a case of localised unilateral renal aspergillosis with obstructive uropathy (hypoplastic contralateral kidney) in a young man, occurring after the endoscopic removal of impacted right upper ureteric calculus in a non-immunocompromised patient. In view of deranged renal function, he was initially managed by percutaneous nephrostomy and DJ stent removal followed by oral voriconazole therapy for 3 weeks. He responded well to the treatment. Subsequently, the patient was free of renal colic, fever and urine culture negative for Aspergillus.