DOI: 10.1001/jama.2024.0642 ISSN: 0098-7484
A Patient With Type 1 Diabetes and Acute Rhinosinusitis
Francisco J. Machiavello Roman, Marwan M. Azar, Paul A. Trubin- General Medicine
A 41-year-old with type 1 diabetes had generalized weakness, muffled voice, and slurred speech. Neck computed tomography showed soft-tissue gas in the nasopharynx and prevertebral fascia; examination of sinus mucosal samples identified numerous broad, nonseptate right-angled hyphae and fruiting bodies. What is the diagnosis and what would you do next?