Fever, frontal sinus mass, and CSF pleocytosis in a 44-year-old man

Autor:	Berenson, C. S., Bia, F. J.
Jazyk:	angličtina
Rok vydání:	1986
Předmět:	Adult Male Chloramphenicol Fever Metronidazole Paranasal Sinuses otorhinolaryngologic diseases Humans Sinusitis Tomography X-Ray Computed Research Article Cephalosporins Cerebrospinal Fluid
Zdroj:	The Yale Journal of Biology and Medicine
ISSN:	1551-4056 0044-0086
Popis:	Intracranial complications arising from frontal sinusitis occur infrequently. However, they can progress with such rapidity that the clinical situation becomes far advanced before they are recognized. Radiographic imaging techniques may not be definitive early in the course of these complications. The infectious disease service was asked to evaluate a middle-aged man with acute global headache and nasal discharge for two weeks. CSF pleocytosis (3,600 WBC/mm3) was documented on lumbar puncture, and a dense mass was noted on sinus radiographs. At surgery, a large bony lesion was found extending from the right frontal sinus into the adjacent ethmoid sinus and nasal-frontal duct. The authors discuss the bacteriology, pathogenesis, and potentially serious intracranial and extracranial complications of frontal sinusitis which were considered during their evaluation of this patient. Images FIG. 1 FIG. 2 FIG. 3
Databáze:	OpenAIRE
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