Invasive fungal sinusitis

Case contributed by Dr Ahmed Abdrabou

Presentation

Diplopia and ophthalmoplegia in patient with history of chronic sinusitis

Patient Data

Age: 70 years
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 the right orbit, infiltration of the medial and inferior recti muscles as well as proptosis of the right eye globe.

Case Discussion

Biopsy revealed mucormycosis and the patient gave a history of long-lasting diabetes mellitus. Invasive fungal sinusitis rarely occurs in healthy individuals and mostly in immunocompromised individuals.

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