PMC3507022_01
Coronal sinus CT scan of paranasal sinuses (mucosal thickening of ethmoidal sinuses and both maxillary sinuses and destruction of the medial wall of maxillary sinus and nasal septum)
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F1
Bony erosion of the medial wall of both maxillary sinuses and nasal septum was seen [Figure 1].
Nasal Endoscopic view: Nasal cavity contained necrotic materials and crusts
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F2
Nasal examination revealed necrotic materials [Figure 2].
(a) PAS staining, (b) H&E staining (40 HPF) Sections show necrotic material administered with neutrophils and nuclear debris, with some nonseptated fungal hyphae
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F3
Pathology and culture revealed a necrotic material with nonseptated fungal hyphae, consistent with mucormycosis [Figures 3a and b], so amphotricine was administered immediately and an endoscopic sinus surgery (ESS) was done to accomplish the diagnosis and treatment.