Primary renal aspergillosis is an extremely rare entity. Only 19 cases
have been reported, 3 of them in patients with AIDS. We report one ne
w case of renal aspergillosis in a patient with AIDS. His disease patt
ern was multiple bilateral renal abscesses with a normal excretory pat
h way. The treatment established was percutaneous drainage and systemi
c antifungal drugs. He had a bad evolution and died 14 weeks after dia
gnosis. In the previously reported cases of aspergillosis in patients
with AIDS, the manifestation was unilateral renal abscess.