Acute invasive fungal sinusitis with orbital involvement

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Hemifacial pain and swelling in a diabetic patient

Patient Data

Age: 55
Gender: Female

Left maxillary, ethmoidal and frontal opacities favouring sinusitis with extention into left orbit and causing orbital abscess and proptosis. Left hemifacial swelling also noted.

Case Discussion

In a 55 Y/O diabetic patient with left hemifacial pain and swelling ; left maxillary, ethmoidal and frontal sinusitis are seen with extention into left orbit and causing orbital abscess and proptosis. No definite hyperdense components are seen on the non contrast images.

The findings consistent fungal sinusitis with orbital abscess (likely acute invasive).

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Case information

rID: 20854
Case created: 17th Dec 2012
Last edited: 8th Nov 2015
System: Head & Neck
Inclusion in quiz mode: Included

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