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- W2149263911 abstract "Aman in his 60s had an 8-month history of right-sided nasal congestion and rhinorrhea.Hehadnoclinicallysignificant improvement insymptomsdespitemultiplecourses of oral antibiotics. Over the previous 2 months, he had developed progressive rightsided facial swelling, pain, blurred vision, and a 6.8-kg weight loss. There was no historyof immunocompromiseor foreign travel.Acomputed tomographic (CT) scan at an outside hospital showed complete opacification and an invasiveprocess centered in the rightmaxillary sinus. Anendoscopicmaxillary antrostomyandbiopsy showed inflammatory changes and numerous fungal organisms consistentwith Aspergillus species. Thepatientwas startedon treatmentwith intravenous antifungal andbroad-spectrumantibiotics, andhewastransferred for furtherevaluationandmanagement. The patient’s examination was notable for right-sided facial and periorbital swelling, severepain, and limitationof lateral gazeof the right eye.A repeatedCTscan was completed (Figure). Quiz at jamaotolaryngology.com WHAT IS YOURDIAGNOSIS?" @default.
- W2149263911 created "2016-06-24" @default.
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- W2149263911 date "2015-06-01" @default.
- W2149263911 modified "2023-09-25" @default.
- W2149263911 title "Progressive Unilateral Nasal Congestion, Facial Pain, and Vision Change in an Immunocompetent Patient" @default.
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- W2149263911 doi "https://doi.org/10.1001/jamaoto.2015.0352" @default.
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