Rhinocerebral form initially mimics acute bacterial sinusitis (pain/swelling of cheeks and periorbital region)
A much more rapid, extensive expansion of the fungus to the surrounding anatomy is classic
Can spread to orbits, oropharynx, nasopharynx, brain, nearby vasculature leading to → vision changes, nasopharyngeal and oropharyngeal ulceration or eschars, facial edema/pain, cranial nerve deficits, headache
Black palatal discoloration indicates palatal necrosis
A much more rapid, extensive expansion of the fungus to the surrounding anatomy is classic
Can spread to orbits, oropharynx, nasopharynx, brain, nearby vasculature leading to → vision changes, nasopharyngeal and oropharyngeal ulceration or eschars, facial edema/pain, cranial nerve deficits, headache
Black palatal discoloration indicates palatal necrosis
Mucormycosis
Upper respiratory infection, influenza
Blastomycosis
Sinusitis
Coccidioidomycosis
Juvenile nasopharyngeal angiofibroma
Paracoccidioidomycosis
Nasal polyp