Fusarium is a widely distributed filamentous fungus in plant debris, soil water. Species most repeatedly caught up in human infections are Fusarium solani, F. oxysporum and F. moniliforme. The clinical presentation of fusariosis depends mainly on the immune status of the host. The superficial and localized disease occurs mostly in immunocompetent patients, while invasive and disseminated disease affects mostly immunocompromised patients. The common risk factors for fusariosis to develop include prolonged leukopenia, immunosuppressive drugs and organ transplantation. The present case depicts the finding of spindle shaped structures of fusarium in routine urine examination of immuno-compromised post renal transplant patient.