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Examination revealed a febrile patient with chemosis, complete ophthalmoplegia and ptosis of the right eye with ipsilateral lower motor neuronal facial palsy. Visual acuity in right eye was 0/6 with an insensitive corneoscleral junction with absent pupillary reflexes. The left eye had a cataract with reduced visual acuity. Ophthalmoscopy revealed an ischemic optic fundus in the right side suggestive of a central retinal artery occlusion. Left upper and lower limbs showed upper-motor neurone signs. She had no features of meningism. The examination of other systems was normal.

Sino-orbitocranial aspergillosis in a diabetic woman; a case report