Fatal frontal sinusitis due to Neisseria sicca and Eubacterium lentum.
Infectious sinusitis may on occasion be associated with meningitis, subdural empyema, epidural empyema, brain abscess, or osteomyelitis. We report a 29-year-old male patient with frontal sinusitis who developed all of these intracranial complications due to two previously unreported causative organisms, Neisseria sicca and Eubacterium lentum. The fulminant and fatal course resulting from locally invasive disease underscores the importance of early diagnosis and proper treatment of these complications. Possible exacerbating factors in this patient were sickle cell disease and immune compromise due to intravenous drug abuse.
Moon
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T
Lin
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Jahn
A F
AF
D000328:Adult; D000755:Anemia, Sickle Cell / Q000150:complications; D001424:Bacterial Infections / Q000175:diagnosis / Q000209:etiology*; D001922:Brain Abscess / Q000209:etiology; D013354:Empyema, Subdural / Q000209:etiology; D005051:Eubacterium / Q000302:isolation & purification; D005626:Frontal Sinus; D006801:Humans; D008297:Male; D008581:Meningitis / Q000209:etiology; D009343:Neisseria / Q000302:isolation & purification; D010019:Osteomyelitis / Q000209:etiology; D012852:Sinusitis / Q000209:etiology*; D019966:Substance-Related Disorders / Q000150:complications