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Bilateral renal aspergillosis with a fungal cast masquerading as renal malignancy
  1. Jyoti Mohan Tosh1,
  2. Shiv Charan Navriya1,
  3. Shruti Agrawal2 and
  4. Nikunj Jain1
  1. 1Urology, AIIMS Rishikesh, Rishikesh, Uttarakhand, India
  2. 2Pathology, AIIMS Rishikesh, Rishikesh, Uttarakhand, India
  1. Correspondence to Dr Shiv Charan Navriya; shivcharannavriya2021{at}


Invasive isolated renal aspergilloma in an immunocompetent host is rare, and few cases have been reported in the literature. It is a unique entity encountered by a urologist that can lead to catastrophic complications like end-stage renal disease. Infective pathology may closely resemble renal mass, and timely, appropriate investigations are obligatory for early intervention. This case report highlights the importance of strong consideration of renal fungal infections in the differential diagnosis of a renal mass with atypical radiological findings in an immunocompetent host. Meticulous decision-making and appropriate management help to prevent disastrous sequelae.

  • Urinary and genital tract disorders
  • Renal system
  • Urological surgery

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  • Contributors JMT—manuscript writing. SCN—manuscript editing. SA—data collection. NJ—manuscript writing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.