The turbulent low Mach number flow through an axial fan at a Reynolds number of 9.36 × 105 based on the outer casing diameter is investigated by large-eddy simulation. A finite-volume flow solver in an unstructured hierarchical Cartesian setup for the compressible Navier-Stokes equations is used. To account for sharp edges, a fully conservative cut-cell approach is applied. A newly developed rotational periodic boundary condition for Cartesian meshes is introduced such that the simulations are performed just for a 72° segment, i.e., the flow field over one out of five axial blades is resolved. The focus of this numerical analysis is on the development of the vortical flow structures in the tip-gap region. A detailed grid convergence study is performed on four computational grids with 50 × 106, 250 × 106, 1 × 109, and 1.6 × 109 cells. Results of the instantaneous and the mean fan flow field are thoroughly analyzed based on the solution with 1 × 109 cells. High levels of turbulent kinetic energy and pressure fluctuations are generated by a tip-gap vortex upstream of the blade, the separating vortices inside the tip gap, and a counter-rotating vortex on the outer casing wall. An intermittent interaction of the turbulent wake, generated by the tip-gap vortex, with the downstream blade, leads to a cyclic transition with high pressure fluctuations on the suction side of the blade and a decay of the tip-gap vortex. The disturbance of the tip-gap vortex results in an unsteady behavior of the turbulent wake causing the intermittent interaction. For this interaction and the cyclic transition, two dominant frequencies are identified which perfectly match with the characteristic frequencies in the experimental sound power level and therefore explain their physical origin.