A rare case of septic cavernous sinus thrombosis as a complication of sphenoid sinusitis

Autor: Jui-Hsia Chen, Ming-Chun Chen, Pau-Nyen Chong, Yu-Huai Ho
Rok vydání: 2019
Předmět:
Zdroj: Tzu-Chi Medical Journal
Tzu-Chi Medical Journal, Vol 31, Iss 1, Pp 63-65 (2019)
ISSN: 1016-3190
DOI: 10.4103/tcmj.tcmj_1_18
Popis: Isolated sphenoid sinusitis is a rare disorder and may present with severe complications due to its proximity to the orbital and intracranial areas. We report a 13-year-old boy hospitalized for septic shock with fever of unknown origin. Facial palsy was later noted. Brain magnetic resonance imaging showed a sphenoid mass and right cavernous sinus and internal jugular vein thrombosis. Biopsy revealed chronic rhinosinusitis. Complete recovery followed by an incision/drainage procedure and antibiotic treatment. Acute sphenoid sinusitis should be included in the differential diagnosis of septic manifestations mimicking central nervous system infection or cranial nerve palsy.
Databáze: OpenAIRE