A 65-year-old male patient, with poorly controlled diabetes mellitus, presented to us with painless, progressive diminished vision in both eyes over 4 months (asymmetrical involvement; right eye defect more than left eye). On examination, right eye had only perception of light and left eye had vision of counting fingers up to 2 feet. Fundus showed features of optic atrophy. His neurological examination was unremarkable. There were no signs of meningeal irritation. He was negative for  HIV, HBsAg and HCV done by ELISA as a routine presurgical investigation. His chest X-ray was unremarkable. Mantoux was negative. Sputum AFB (done in the postoperative period after the tissue cultures showed growth of tuberculosis) was negative. Sputum for acid fast bacilli was negative. He had an FBS = 176 mg/dl, PPBS = 231mg/dl, and Hb1Ac = 8.2%. Magnetic resonance imaging (MRI) of brain with orbit showed a lesion, which was heterogeneously hypointense on T1W and hyperintense on T2W, located in the orbit, encircling the optic nerve and was extending through the optic foramen into the cranial cavity. On gadolinium contrast T1W imaging, the lesion was brilliantly enhancing and was extending onto the planum sphenoidale [Figure 1]. Mild enhancement was also noted in the right orbit. The paranasal sinuses were normal. A working diagnosis of orbital meningioma was made. A left supraorbital craniotomy and deroofing of the orbit was followed by subtotal excision of the lesion. The tumor was grayish, mildly vascular, firm, nonsuckable and was encircling the left optic nerve and was extending into the optic canal. The frozen section examination was suggestive of granulomatous pathology and hence the specimen was subjected to microbiological examination as per our departmental protocol for suspected infections (aerobic, tubercular and fungal staining, and cultures). Histopathological examination showed multi-septate hyphae suggestive of fungus. On day 5, growth of Aspergillus flavus was noted on fungal culture. The patient was started on antifungal drugs immediately (Inj. Voriconazole 400 mg on day 1 followed by 200 mg daily for 14 days, followed by oral Voriconazole 200 mg, twice daily for 4 weeks, to be reviewed with repeat imaging). On day 28, all three cultures tubes for tuberculosis [BACTEC 460 Tb system (Becton Dickinson, USA) using the 12 B vials] were positive. He was started on antitubercular drugs as per his body weight (Isoniazid 300 mg once a day, Rifampicin 600 mg once a day, Pyrazinamide 750 mg twice daily, Ethambutol 800 mg once a day, and Benadone 20 mg once a day). He was discharged on 14th postoperative day with no change in his visual status. He, however, had a cerebrovascular accident and succumbed to it on 38th postoperative day.