PMC4516082_01
Dark red discoloration of the right eye.
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F1
Institute Hospital complaining of pain and swelling of her right cheek following maxillary tooth extraction 2 weeks ago. Examination revealed facial cellulitis involving her right buccal, infraorbital and temporal areas, chemosis, dark red discoloration, and orbital apex syndrome of the right eye (Figure 1). Intraoral black discoloration of the mucosa of the right half of the palate was observed (Figure 2).
The black discoloration of the right half of the palate indicating palatal necrosis.
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F2
Institute Hospital complaining of pain and swelling of her right cheek following maxillary tooth extraction 2 weeks ago. Examination revealed facial cellulitis involving her right buccal, infraorbital and temporal areas, chemosis, dark red discoloration, and orbital apex syndrome of the right eye (Figure 1). Intraoral black discoloration of the mucosa of the right half of the palate was observed (Figure 2).
(a) Coronal cut of the patent's computed tomography scan showing clouding of right maxillary sinus, ethmoid sinus, and nasal cavity. (b) Axial cut showing clouding of the sphenoid sinus, which is an indication of extensive spread of the fungi.
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F3
Facial and brain computed tomography (CT) scans revealed clouding of the right nasal cavity, maxillary, ethmoid (Figure 3a), frontal and sphenoid (Figure 3b) sinuses.
Histopathological specimen stained with H and E at 400 x magnification, showing colonies of fungal spores and hyphae.
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F4