A bladder infection of
Aspergillus
with no evidence of dissemination is rare. We present a case of
Aspergillus infection with transitional cell carcinoma of the urinary bladder without any evidence of systemic involvement. A 65-year-old male diabetic whose main complaints were intermittent painful haematuria and nocturia had undergone nephroureterectomy a year and a half back for transitional cell carcinoma of right renal pelvis. Cystoscopy revealed bladder mucosa having fixed broad tumour with encrustation and bleeding on touch at the right vesico-ureteric junction. The histopathologic diagnosis was a high-grade transitional carcinoma with
Aspergillus infection. Fungal culture of urine obtained after bladder wash yielded
Aspergillus fumigatus
.
