Primary bilateral parenchymal renal Aspergillus infection.

Isolated renal fungal infection is rare. Most patients with either an opportunistic or primary fungal infection have an altered immune status. Common predisposing factors include malignancy, corticosteroid use, diabetes, and iatrogenic or infective immunosuppression. We report a previously healthy patient with bilateral, recurrent renal Aspergillus infection requiring left total and right partial nephrectomies to adequately manage his disease process.