Septic cavernous sinus thrombosis complicated by narrowing of the internal carotid artery, subarachnoid abscess and multiple pulmonary septic emboli.
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.
Hoshino
Chisho
C
General Internal Medicine, Ohta-nishinouchi Hospital, Koriyama. gim-hoshino@ohta-hp.or.jp
Satoh
Noriyuki
N
Sugawara
Shinichi
S
Kuriyama
Chizuko
C
Kikuchi
Akio
A
Ohta
Masahiro
M
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001922:Brain Abscess / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016893:Carotid Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D020226:Cavernous Sinus Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D009916:Orbital Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D034365:Streptococcus constellatus / Q000302:isolation & purification; D013346:Subarachnoid Space; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents