A woman in her 50s was admitted to the hospital with new left-sided nasal congestion, facial pain, and cheek numbness. Her medical history included kappa light chain multiple myeloma refractory to multiple chemotherapeutic regimens. She had been admitted 4 months earlier with similar symptoms of facial pain and sinus pressure. At that time, she was found to have persistent sinus mucormycosis, which required multiple rounds of surgical debridement. On this admission, her vital signs were stable, and she was afebrile. Laboratory test results showed a white blood cell count of 0.97 × 109 per liter with absolute neutrophil count of 650 × 106 per liter and platelet level of 17 × 109 per liter. A computed tomography scan showed complete opacification of the left paranasal sinuses (Figure, A). The patient underwent surgical debridement, and a prominent erythematous soft-tissue mass was seen in her left nasal vestibule (Figure, B). The nasal mass was resected for pathologic analysis (Figure, C).
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Corresponding Author: Joel A. Sercarz, MD, Department of Head and Neck Surgery, David Geffen School of Medicine at University of California Los Angeles, 200 UCLA Medical Plaza, Ste 550, Los Angeles, CA 90095 (email@example.com).
Published Online: June 17, 2021. doi:10.1001/jamaoto.2021.1142
Conflict of Interest Disclosures: None reported.
Additional Contributions: We thank the patient’s family for granting permission to publish this information.
Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.
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