@entity3 presenting with a painless complete XXXX .

@entity1 @entity1018 @entity295 @entity6 @entity301 @entity55 @entity177 @entity4610 @entity79 @entity1576 @entity3 @entity1140 @entity1736 @entity6051 @entity617
OBJECTIVE: We report on a @entity1 who presented with complete @entity4610 as a first symptom of fatal @entity3 . CASE REPORT: We present the clinical course of an immunocompromised 68-year-old @entity1 with unclear painless @entity1018 , @entity1736 and @entity4610 of the right eye lasting for 10 days which was referred from an ophthalmological outpatient clinic. He had a history of kidney transplantation after @entity177 , @entity6 II, and @entity301 . He was on immunosuppressive therapy with @entity1140 , @entity6051 and @entity617 since renal transplantation. The initial cranial magnetic resonance imaging (MRI) was unremarkable. The additional thin section computed tomography (CT) of the paranasal sinuses was suspicious for @entity79 of the superior wall of the right sphenoidal sinus. Initial laboratory testing and cerebrospinal fluid were without pathological findings. When the @entity1 showed signs of generalised @entity295 he was transferred to the intensive care unit. Due to fulminant @entity295 it was not possible to perform the planned biopsy. The @entity1 died a few days later of @entity1576 . The consecutive autopsy revealed @entity3 of paranasal sinuses with infiltration into the orbita and intracranial spreading into sinus cavernous. Autopsy also showed @entity55 . DISCUSSION: @entity3 of the paranasal sinuses and the skull base is most often a lethal condition in immunocompromised @entity1 . Therefore, rapid diagnostics applying radiological (CT and MRI) and surgical procedures (biopsy) and immediate ignition of antimycotic treatment can be life-saving.
