title: An unusual case of non-disseminated bladder aspergillosis in a setting of transitional cell carcinoma.
abstract: 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.
authors.affiliation: Department of Pathology, Institute of Nephrourology, Victoria Hospital Campus, Bangalore - 560002, Karnataka, India. sujathasiddappa@gmail.com
authors.forename: S
authors.initials: S
authors.lastname: Siddappa
authors.forename: K M
authors.initials: KM
authors.lastname: Mythri
authors.forename: R
authors.initials: R
authors.lastname: Kowsalya
authors.forename: M
authors.initials: M
authors.lastname: Shivalingaiah
mesh_terms: D000368:Aged; D001228:Aspergillosis / Q000175:diagnosis* / Q000382:microbiology* / Q000473:pathology; D001232:Aspergillus fumigatus / Q000302:isolation & purification*; D002295:Carcinoma, Transitional Cell / Q000150:complications*; D003556:Cystitis / Q000175:diagnosis* / Q000382:microbiology* / Q000473:pathology; D003558:Cystoscopy; D006651:Histocytochemistry; D006801:Humans; D008297:Male; D001743:Urinary Bladder / Q000382:microbiology / Q000473:pathology; D001749:Urinary Bladder Neoplasms / Q000150:complications*