PMC8209080_01
Left eye ecchymosis and swelling on first day of hospitalization.
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(A) CT of head showed opacification of left frontal, sphenoid, ethmoid and maxillary sinuses suggestive for sinusitis. (B) MRI of head showed inflammatory changes of left infra-temporal fossa and left masticator along with signs left sinusitis.
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CT of the head showed signs of left facialsinusitis with left preiorbital/preseptal inflammatory changes with proptosis (Fig. 2A). MRI of the head showed pan-sinusitis and inflammatory changes of the adjacent left infra-temporal fossa and left masticator (Fig. 2B).
Histopathology of multiple fungal hyphae with angioinvasion.
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Histopathology of left orbital tissue showed fungal hyphae and signs of angioinvasion (Fig. 3).
Left facial necrotic tissues with blackish discoloration.
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On post-operative day 2, facial examination revealed extensive necrosis of left facial tissues with blackish discoloration (Fig. 4).
Mucor spp. grew from orbital tissue culture.
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Lately, left orbital tissue culture was positive for Mucor spp. (Fig. 5).