Coexisting Cutaneous Aspergillosis and Pulmonary Tuberculosis in a Renal Transplant Recipient

We report a 70-year-old renal transplant recipient with endophthalmitis and cutaneous aspergillosis who presented with painful red eye and skin nodules. The presenting symptoms subsided gradually after voriconazole therapy. However, he developed fever with progressive pulmonary infiltrates. He was subsequently diagnosed to have coexisting pulmonary tuberculosis. This case illustrates that co-infection should always be borne in mind in immunocompromised patients, especially when the patient's clinical condition fails to respond favorably to initial treatment.