# A Case of Aspergillus Fungal Ball in a Transplant Graft Kidney

## TL;DR

A rare case of Aspergillus fungal ball in a transplanted kidney caused obstructive nephropathy and was treated with graft nephrectomy.

## Contribution

Reports a rare manifestation of Aspergillus infection in a transplant graft kidney.

## Key findings

- Aspergillus fungal ball presented as obstructive nephropathy in a transplant kidney.
- Graft nephrectomy resolved severe sepsis and improved patient condition.

## Abstract

We report a case of an Aspergillus fungal ball in a transplant graft kidney presenting as obstructive nephropathy. This is a rare manifestation considering the usual presentations of Aspergillus infection, which are pulmonary, rhino-cerebral, and disseminated forms. Imaging showed hydronephrosis with an echogenic material in the transplant renal pelvis, which was further found to be the fungal ball. The patient underwent a graft nephrectomy due to severe sepsis, and following that, his condition improved.