Acute invasive fungal sinusitis with orbital involvement

Case contributed by Mohammad Taghi Niknejad , 17 Dec 2012
Diagnosis probable
Changed by Sachi Hapugoda, 10 Jan 2020

Updates to Case Attributes

Presentation was changed:
Hemifacial pain and swelling in a diabetic patient.
Age changed from 55 to 55 years.
Body was changed:

In a 55 Y/O diabetic patient with left hemifacial pain and swelling ; Features of 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 The findings consistent favour fungal sinusitis with orbital abscess (likely acute invasive).

  • -<p>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.</p><p>The findings consistent <strong>fungal sinusitis with orbital abscess (likely acute invasive).</strong></p>
  • +<p>Features of left maxillary, ethmoidal and frontal sinusitis with left orbital abscess and proptosis. The findings favour fungal sinusitis with orbital abscess (likely acute invasive).</p>

Updates to Study Attributes

Findings was changed:

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

Images Changes:

Image CT (non-contrast) ( update )

Perspective was set to Axial.
Specifics changed from Axial to non-contrast.

Image CT (bone window) ( update )

Perspective was set to Axial.

Image CT (Post contrast) ( update )

Perspective was set to Coronal.
Specifics changed from Coronal to Post contrast.

Image CT (bone window) ( update )

Perspective was set to Coronal.
Specifics changed from bone window to bone window.

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