case_images: PMC7265517_01
case_images: The swollen erythematous left eyelid
case_images: cjim-11-227-g001.jpg
case_images: PMC7265517_01_cjim-11-227-g001.jpg
case_images: F1
case_images: She also had headaches and blurred vision (figure 1).
case_images: The PNS CT scan (axial view-without contrast) shows a mucosal thickening in both maxillary sinuses
case_images: cjim-11-227-g002.jpg
case_images: PMC7265517_01_cjim-11-227-g002.jpg
case_images: F2
case_images: The PNS CT scan showed mucosal thickening in both maxillary sinuses (figure 2).
case_images: The brain MRI image (MRI-T2 flair view) of an intracranial hyper-intense lesion with dimensions of 20x20 mm in the left frontal lobe (Red arrow)
case_images: cjim-11-227-g003.jpg
case_images: PMC7265517_01_cjim-11-227-g003.jpg
case_images: F3
case_images: The brain MRI images revealed an intracranial lesion (about 20x20 mm) in the left frontal cortex (MRI-T2 flair view) (figure 3).
case_images: The histological examination of sinus debridement (aseptate ribbon-like hyphae)
case_images: cjim-11-227-g004.jpg
case_images: PMC7265517_01_cjim-11-227-g004.jpg
case_images: F4
case_images: ROCM; accordingly, sinus endoscopic biopsy and debridement was carried out, and the specimens were sent to the laboratory. Ribbon-like hyphae, compatible with mucormycosis, were reported in the histopathological examination (figure 4).
case_images: Follow-up MRI after three weeks of combination therapy and four sinus debridement procedures
case_images: cjim-11-227-g005.jpg
case_images: PMC7265517_01_cjim-11-227-g005.jpg
case_images: F5
case_images: Also, in the follow-up brain MRI images, the frontal lobe lesion was completely resolved (figure 5).