Pelvic aspergillosis with tubo-ovarian abscess in a renal transplant recipient

Common clinical manifestations of aspergillosis in renal transplant recipie nts are fever and pulmonary infiltrates, but involvement of the reproductiv e system is rare. We report a case of pelvic aspergillosis with tube-ovaria n abscess in a renal transplant patient, The patient received a cadaveric r enal transplantation, and two episodes of acute rejection were treated with methylprednisolone pulse therapy. Surgical biopsy specimens of pelvic absc ess detected by ultrasonogram and CT revealed Aspergillus. With amphoterici n B treatment, the patient is well with normalization of erythrocyte sedime ntation rate and C-reactive protein. (C) 2001 The British Infection Society .