Invasive fungal sinusitis

Case contributed by Dr Ahmed Abd Rabou

Presentation

Diplopia and ophthalmoplegia in patient with history of chronic sinusitis

Patient Data

Age: 70
Gender: Male
CT

Soft tissue attenuation fills the right maxillary, frontal and ethmoidal sinuses with high attenuation material seen at the right maxillary sinus. There is associated invasion of the medial and inferior walls of right orbit, infiltration of the medial and inferior recti muscles as well as proptosis of the right eye globe.

Case Discussion

Biopsy revealed mucor mycosis and the patient gave history of long lasting diabetes mellitus. Invasive fungal sinusitis rarely occurs in healthy individual and mostly in immunocompromised individuals.

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Case information

rID: 28818
Case created: 13th Apr 2014
Last edited: 15th Aug 2017
System: Head & Neck
Inclusion in quiz mode: Included

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