The appearance of a unilateral renal aspergilloma on computed tomography is
described in a 32-year-old man with acquired immunodeficiency syndrome (AI
DS), Aspergillus infections are uncommon in the AIDS population. Only 9 cas
es of renal aspergilloma have been described in AIDS. The treatment perform
ed was percutaneous drainage followed by antifungal drug administration and
unilateral nephrectomy. This case report emphasizes the fact that renal fu
ngal infections need to be considered in differential diagnosis of kidney i
nfections in AIDS patients.