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. 2022 May 6;121:203–210. doi: 10.1016/j.ijid.2022.05.005

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A. Hard palate grossly involved with the disease. Black eschar is visible. B. Pre-operative endoscopic view of right-side posterior nasal cavity. C. Fungal hyphae growth in post-operative nasal cavity. D. Maxillary sinus mucosa appears pale and sloughy. E. Imprint smear showing broad, ribbon-like and twisted, non-septate fungal hyphae displaying right-angled branching (Hematoxylin and Eosin 200X). F. Histopathological section showing perineural infiltration by broad wide-angled branching fungal hyphae (Hematoxylin and Eosin 400X). G. Coronal computed tomography (CT) image shows unilateral mucosal thickening of left maxillary and left ethmoid sinuses. H. Axial CT image shows unilateral left nasal cavity and maxillary sinus mucosal thickening. There is soft tissue infiltration of left anterior periantral fat. I. Dilated right superior ophthalmic vein. J. Axial CT head shows right sided fronto-parietal ischemic infarct.