“…Invasive fungal sinusitis is a dangerous form of infection by Aspergillus , with mortality rates as high as 80% [1] . Although invasive infection typically occurs in immunocompromised patients [2] , [3] , [4] , [5] , [6] , other risk factors include hot, dry climates [7] , [8] , [9] , [10] , farming occupations [3] , [8] , [11] , [12] , maxillary tooth extraction [2] , [11] , [12] , [13] , [14] , and intranasal cocaine use [5] , [15] . Diagnosis can be challenging as topical nasal cultures are often negative and symptoms often precede significant radiological findings [8] , [13] , [16] , [17] .…”