Abstract
BACKGROUND: Aspergillosis is a fungal infection occasionally found in immunosuppressed patients. The recommended management of patients with renal aspergilloma remains unclear. METHODS: An HIV patient presented with flank pain and an abdominal mass. Renal aspergilloma was diagnosed. RESULTS: The patient with CD4 above 200 did well with nephrectomy followed by amphotericin therapy for 14 days. CONCLUSIONS: The merits of surgery followed by antifungal chemotherapy or vice versa are limited. More studies are needed to ascertain the most effective method of treatment for Aspergillosis in HIV patients.