Invasive fungal sinusitis by Scedosporium boydii in an immunocompromised patient. A case report

Invasive fungal sinusitis by <i>Scedosporium</i> spp. is a rare but severe infection in immunocompromised patients. We report an 80-year-old woman with poorly controlled diabetes and chronic corticosteroid use who presented with headache, hearing loss, and facial paralysis. She was ultimately diagnosed with sphenoid sinusitis due to <i>Scedosporium boydii</i>. Management required surgical debridement and prolonged antifungal therapy complicated by drug-induced liver injury. Early diagnosis and multidisciplinary treatment are crucial to improve prognosis in these complex infections.