title: [Thrombophlebitis of the cavernous sinus secondary to polysinusitis. Report of a new case].
abstract: Cavernous sinus thrombophlebitis syndrome is uncommon nowadays. Despite the wide range of antimicrobial agents it carries a high mortality. The disease frequently arises from infection of face, mouth, nose and paranasal sinuses, reaching the cavernous sinus by venous spread. Involvement of adjacent anatomic structures accounts for most of the clinical findings. Meningeal involvement, bilateral orbital edema and ocular cranial nerves palsy are very helpful in the differential diagnosis. Streptococcus spp., Staphylococcus spp., Haemophilus influenzae and anaerobic organisms are considered to be the most frequent etiological agents. In the present paper we report a case of cavernous sinus thrombophlebitis following left side polysinusitis. The patient presented with the main clinical features of the syndrome along with Streptococcus equisimilis and Fusobacterium necrophorum bacteremia. Urgent surgery of infected sinuses and appropriate antibiotic therapy led to a favorable outcome. The patient made and excellent progress and was discharged completely recovered two weeks after admission.
authors.affiliation: Servicio de ORL, Hospital Nuestra Señora de Alarcos, Ciudad Real.
authors.forename: E
authors.initials: E
authors.lastname: García Del Castillo
authors.forename: J M
authors.initials: JM
authors.lastname: Morales
authors.forename: J
authors.initials: J
authors.lastname: Crespo
authors.forename: M
authors.initials: M
authors.lastname: Ruiz
authors.forename: J
authors.initials: J
authors.lastname: Carballo
authors.forename: C
authors.initials: C
authors.lastname: Gómez
authors.forename: T
authors.initials: T
authors.lastname: Arroyo
authors.forename: C
authors.initials: C
authors.lastname: Lázaro
authors.forename: C
authors.initials: C
authors.lastname: Pereda
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications; D002426:Cavernous Sinus; D005260:Female; D005674:Fusobacterium Infections / Q000150:complications; D005675:Fusobacterium necrophorum / Q000302:isolation & purification; D006801:Humans; D012851:Sinus Thrombosis, Intracranial; D012852:Sinusitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D013290:Streptococcal Infections / Q000150:complications; D013291:Streptococcus / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Tromboflebitis del seno cavernoso secundaria a polisinusitis. Aportación de un nuevo caso.