Invasive sino-orbital aspergillosis is an uncommon but potentially life-threating complication of kidney
transplantation. Here we report a case of a patient with invasive aspergillus fumigatus sinusitis extending
into the orbit in a kidney transplant recipient who was successfully treated with voriconazole and surgical
debridement without requiring orbital exenteration. This case illustrates a rare but life-threatening
complication of immunosuppression that highlights the importance of suspecting and promptly recognizing
fungal infection of the sinuses in vulnerable organ transplant recipients in order to avoid significant
morbidity and mortality.