A 64-year-old woman was admitted to a tertiary academic medical center with neutropenic fever of unknown etiology. Her medical history included asthma, IgG deficiency, and chronic rhinosinusitis. Her surgical history included endoscopic sinus surgery on 3 previous occasions. She was admitted to the medicine service and began broad-spectrum intravenous antibiotic therapy. The otolaryngology service was subsequently consulted regarding sinusitis being a possible infectious source.
Kleinberger AJ, Dikman SH, Miles BA, Govindaraj S. Pathology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2012;138(12):1195. doi:10.1001/2013.jamaoto.442a