A lot of clot.
A 37-year-old man presented with fever and a red, painful right eye. He had proptosis, conjunctival chemosis, and ophthalmoplegia OD. The patient had extremely poor dentition and had self decompressed a dental abscess prior to admission. Magnetic resonance imaging of the brain and orbital revealed extraocular muscle engorgement and a dilated superior ophthalmic vein OD. Orbital echography revealed a lack of flow in the right superior ophthalmic vein. An extensive hematologic evaluation for infection and inflammation was negative. A chest radiograph showed a lung abscess for which he received intravenous antibiotics. Over time, the periorbital erythema, ophthalmoplegia, proptosis, and pain resolved. Repeat MRI showed resolution of the orbital findings and repeat chest x-ray showed resolution of the left upper lobe abscess.
D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D003229:Conjunctival Diseases / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D005094:Exophthalmos / Q000175:diagnosis; D006470:Hemorrhage / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007262:Infusions, Intravenous; D008169:Lung Abscess / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008297:Male; D009886:Ophthalmoplegia / Q000175:diagnosis* / Q000188:drug therapy; D010508:Periodontal Abscess / Q000175:diagnosis / Q000188:drug therapy; D011859:Radiography; D012170:Retinal Vein Occlusion / Q000175:diagnosis* / Q000188:drug therapy; D018805:Sepsis / Q000175:diagnosis* / Q000188:drug therapy
D000890:Anti-Infective Agents