PMC9979808_01
HRCT with a score of 17. HRCT High-resolution computed tomography
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The patient's high-resolution computed tomography (HRCT) score was 17 which indicated the extent of lobar involvement of the lungs and the severity of the disease [Figure 1].
Periodontal abscesses with draining sinus w.r.t. 11, 12, 13, 14, 15, and 16
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On periodontal examination, multiple periodontal abscesses with draining sinus were seen with respect to the teeth numbers 11, 12, 13, 14, 15, and 16 on the buccal aspect [Figure 2].
Abscess on the palatal aspect w.r.t. 14
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An abscess was also seen on the palatal aspect with respect to tooth number 14 [Figure 3].
More than 10 mm probing depth with tooth number 13
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Deep periodontal pockets were seen in most of the affected teeth with >10 mm probing depth with tooth number 13 [Figure 4].
CT maxillary sinus showing opacification with thickened polypoid mucosal lining. CT - Computed tomography
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Other sinuses, orbits, lamina papyracea, and bony walls of the other sinuses appeared intact [Figure 5].
Maxillectomy of the affected region - dentoalveolar process and right maxillary sinus
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Maxillectomy (dentoalveolar process and right maxillary sinus) [Figure 6] of the affected region was performed and an obturator was given.
Histopathological examination of the resected maxillary bone along with sinus and respiratory mucosa showing focal necrotic areas and broad aseptate fungal hyphae with right-angle branching
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Histopathological examination of the resected maxillary bone along with sinus and respiratory mucosa showed focal necrotic areas and broad aseptate fungal hyphae with right-angle branching [Figure 7] which confirmed our diagnosis of mucormycosis.