PMC60655_01
Cranial MRI (transaxial section) at the level of the ethmoid and maxillary sinuses showing contrast enhancement.
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F1
MRI showed involvement of the right orbit and optic nerve, thrombosis in cavernous sinus and infiltrates at ethmoid and maxillary sinuses (figure 1). Mucormycosis was diagnosed based on these findings.
Cranial MRI after surgical debridement
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F2
Liposomal amphotericin B therapy (4 mg/kg/day) was maintained and two months later, there was not any progression of the disease as indicated by the MRI (Figure 2).
No new contrast enhancement nor progression seen after treatment with fluconazole.
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F3
A MRI performed four months after the patient discontinued the treatment did not show progression of the disease (Figure 3).