This case was an 77 y/o male with AML. A,B MRI scans; C-G CT scans of sinuses.
He presented with neutropenic fever with nasal congestion and abdominal pain.
An initial diagnosis of this case was typhlitis- which was subsequently was found to be incorrect. A culture from a nasal swab later revealed Aspergillus flavus.
Surgery revealed that the patient had invasive sinus aspergillosis. The pathology findings were : acute rhinosinusitis with fungal balls
composed of branching fungal hyphae.
However, unfortunately the patient died of ventilator-associated pneumonia around 30 days later.
Kindly provided by Yu-tsung Huang, MD
Division of Infectious Diseases, Department of Internal Medicine,
National Taiwan University Hospital