Document Detail


Septic cavernous sinus thrombosis complicated by narrowing of the internal carotid artery, subarachnoid abscess and multiple pulmonary septic emboli.
MedLine Citation:
PMID:  17380002     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 56-year-old woman was admitted because of a high fever, right ptosis, chemosis, proptosis and ocular muscle palsy. Cranial MRI revealed a cavernous sinus thrombosis and a subarachnoid abscess. Carotid angio-gram demonstrated marked stenosis as well as aneurismal formation of the right internal carotid artery at the intracavernous portion. Chest radiograph showed bilateral multiple pulmonary nodules, some of which contained a cavity. Blood culture was positive for Streptococcus constellatus. She was diagnosed with septic cavernous sinus thrombosis complicated by narrowing of the internal carotid artery, subarachnoid abscess and multiple pulmonary septic emboli. She recovered with partial ocular sequelae as a result of seven weeks of intravenous antimicrobial therapy.
Authors:
Chisho Hoshino; Noriyuki Satoh; Shinichi Sugawara; Chizuko Kuriyama; Akio Kikuchi; Masahiro Ohta
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-03-15
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  46     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2007  
Date Detail:
Created Date:  2007-03-23     Completed Date:  2007-05-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  317-23     Citation Subset:  IM    
Affiliation:
General Internal Medicine, Ohta-nishinouchi Hospital, Koriyama. gim-hoshino@ohta-hp.or.jp
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / therapeutic use
Brain Abscess / diagnosis,  etiology*,  therapy
Carotid Stenosis / diagnosis,  etiology*,  therapy
Cavernous Sinus Thrombosis / complications*,  diagnosis,  therapy
Female
Humans
Middle Aged
Orbital Diseases / diagnosis,  etiology,  therapy
Pulmonary Embolism / diagnosis,  etiology*,  therapy
Streptococcal Infections / complications*,  diagnosis,  microbiology,  therapy
Streptococcus constellatus* / isolation & purification
Subarachnoid Space
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

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