Images in Clinical Medicine

Palate Destruction by Aspergillus

Stefan Schwartz, M.D., and Eckhard Thiel, M.D.

N Engl J Med 1997; 337:241July 24, 1997

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Figure 1 A 24-year-old man was treated with high-dose cytarabine and idarubicin for relapsed acute myeloid leukemia. Ten days after beginning chemotherapy, the patient required nasal tamponade for heavy epistaxis. Three days later, tenderness over the right maxillary sinus and right-sided periorbital swelling developed. Computed tomography (top panel) revealed opacification of the ethmoidal right sinus (black arrow) and thickening of the periorbital soft tissue (white arrows) but no bone destruction. Histologic examination of surgical-débridement specimens showed

Stefan Schwartz, M.D.
Eckhard Thiel, M.D.
Freie Universität Berlin, 12200 Berlin, Germany

Citing Articles (2)

Citing Articles

1. 1

   Jerome B. Taxy. (2006) Paranasal Fungal Sinusitis: Contributions of Histopathology to Diagnosis. The American Journal of Surgical Pathology 30:6, 713-720
   CrossRef

2. 2

   S. Schwartz, E. Thiel. (1997) Clinical presentation of invasive aspergillosis. Mycoses 40, 21-24
   CrossRef