We present a case of disseminated invasive aspergillosis involving lung, heart and both kidneys in a 62-year old male who developed bronchopneumonia after chest trauma. Though endotracheal aspiration demonstrated presence of Aspergillus flavus during his hospital stay but invasive status and extent of dissemination was established only by autopsy and histopathological examination. This case report discusses the predisposing factors, pathogenesis, clinical presentation, diagnostic difficulties and course of disseminated aspergillosis. Moreover, this autopsy report emphasizes the significance of the postmortem examination to know extent of the disease in such cases and to gain insight into the pathogenesis of aspergillus infection.
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