RENAL ASPERGILLOMA DUE TO ASPERGILLUS-FLAVUS

Renal aspergillomas have been reported only rarel., We report a case o f Aspergillus flavus colonization of the renal pelvis and upper ureter of a patient with concomitant urinary schistosomiasis. The diagnosis was based on the demonstration of characteristic hyphal elements on di rect microscopy and isolation of the fungus in culture. The patient wa s successfully treated with liposomal amphotericin B. This case emphas izes the importance of direct microscopic examination of urine specime ns for prompt diagnosis of fungal infections of the urogenital system. Renal aspergilloma should be considered in the differential diagnosis of filling defects of the urinary tract, especially in patients who a re immunocompromised.