A 65-year-old male patient with history of alcohol dependence was admitted to the ICU twenty-five days before suffering from aspiration pneumonia and severe acute respiratory distress syndrome. He had an orotracheal tube in place and was nourished through an enteral feeding tube inserted through his left nostril. The patient presented new febrile episodes and an abundant postnasal purulent discharge. Due to the raising suspicion of sinusitis, an ultrasound of both maxillary sinuses was performed and revealed a well-defined hyperechoic walls of the right maxillary sinus (Fig. 1), compatible with sinusitis, and a normal air artifact on the left side (Fig. 2). Transcanine puncture of the right maxillary sinus obtained a hemopurulent exudate, with culture results positive for Candida albicans and Pseudomonas aeruginosa.
The authors declare no conflict of interest.
The authors would like to thank Mrs. Celeste Bruno for the language guidance.
