PMC5390232_01
Extra-oral photograph showing swelling over the left part of the face and protrusion of left eye and impaired visibility.
EJHS2701-0085Fig1.jpg
PMC5390232_01_EJHS2701-0085Fig1.jpg
F1
Extra oral examination revealed mild non-tender swelling on the face, unable to see from the left eye, impaired sense of smell, difficulty in speech and nasal stuffiness (Figure 1).
Intra-oral photograph showing necrosis of mucosa and underlying bone in relation to canine to tuberosity area of left vestibular region of maxilla along with abnormal communication b/w vestibule and palate.
EJHS2701-0085Fig2.jpg
PMC5390232_01_EJHS2701-0085Fig2.jpg
F2
Intra-oral examination showed necrosis of mucosa and underlying bone in relation to canine to tuberosity area of the left vestibular region of maxilla (Figure 2).
CT scan showing a homogenous density mass involving maxillary sinus and nasal turbinates bilaterally obliterated.
EJHS2701-0085Fig3.jpg
PMC5390232_01_EJHS2701-0085Fig3.jpg
F3
A CT Scan showed a homogeneous density mass involving the greater palatine and the sphenopalatine foramen obliterating the two (Figure 3).
Photomicrograph showing presence of non-septae hyphae branching at right angle along with areas of necrosis (H&E, x 40).
EJHS2701-0085Fig4.jpg
PMC5390232_01_EJHS2701-0085Fig4.jpg
F4
Histopathological examination with hematoxylin and eosin stain, identified presence of broad non-septae with branching at right angle along with areas of necrosis (Figure 4).The patient was advised for medication and surgical debridement of the involved area along with administration of antifungal therapy such as liposomal Amphotericin-B 5mg\kg\day intravenously for 10 days, followed by Posaconazole 400mg twice daily.