A rare case of septic cavernous sinus thrombosis as a complication of sphenoid sinusitis

Isolated sphenoid sinusitis is a rare disorder and may present with severe complications due to its proximity to the orbital and intracranial areas. We report a 13-year-old boy hospitalized for septic shock with fever of unknown origin. Facial palsy was later noted. Brain magnetic resonance imaging...

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Main Authors: Ming-Chun Chen, Yu-Huai Ho, Pau-Nyen Chong, Jui-Hsia Chen
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Tzu Chi Medical Journal
Subjects:
Online Access:http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2019;volume=31;issue=1;spage=63;epage=65;aulast=Chen
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author Ming-Chun Chen
Yu-Huai Ho
Pau-Nyen Chong
Jui-Hsia Chen
author_facet Ming-Chun Chen
Yu-Huai Ho
Pau-Nyen Chong
Jui-Hsia Chen
author_sort Ming-Chun Chen
collection DOAJ
description Isolated sphenoid sinusitis is a rare disorder and may present with severe complications due to its proximity to the orbital and intracranial areas. We report a 13-year-old boy hospitalized for septic shock with fever of unknown origin. Facial palsy was later noted. Brain magnetic resonance imaging showed a sphenoid mass and right cavernous sinus and internal jugular vein thrombosis. Biopsy revealed chronic rhinosinusitis. Complete recovery followed by an incision/drainage procedure and antibiotic treatment. Acute sphenoid sinusitis should be included in the differential diagnosis of septic manifestations mimicking central nervous system infection or cranial nerve palsy.
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institution Kabale University
issn 1016-3190
2223-8956
language English
publishDate 2019-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Tzu Chi Medical Journal
spelling doaj-art-8fc2595a1f3249ee9c7b5ab39f8cfcee2025-08-20T03:48:41ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562019-01-01311636510.4103/tcmj.tcmj_1_18A rare case of septic cavernous sinus thrombosis as a complication of sphenoid sinusitisMing-Chun ChenYu-Huai HoPau-Nyen ChongJui-Hsia ChenIsolated sphenoid sinusitis is a rare disorder and may present with severe complications due to its proximity to the orbital and intracranial areas. We report a 13-year-old boy hospitalized for septic shock with fever of unknown origin. Facial palsy was later noted. Brain magnetic resonance imaging showed a sphenoid mass and right cavernous sinus and internal jugular vein thrombosis. Biopsy revealed chronic rhinosinusitis. Complete recovery followed by an incision/drainage procedure and antibiotic treatment. Acute sphenoid sinusitis should be included in the differential diagnosis of septic manifestations mimicking central nervous system infection or cranial nerve palsy.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2019;volume=31;issue=1;spage=63;epage=65;aulast=ChenAcute sphenoid sinusitisCavernous sinus thrombosisChildrenCranial nerve palsy
spellingShingle Ming-Chun Chen
Yu-Huai Ho
Pau-Nyen Chong
Jui-Hsia Chen
A rare case of septic cavernous sinus thrombosis as a complication of sphenoid sinusitis
Tzu Chi Medical Journal
Acute sphenoid sinusitis
Cavernous sinus thrombosis
Children
Cranial nerve palsy
title A rare case of septic cavernous sinus thrombosis as a complication of sphenoid sinusitis
title_full A rare case of septic cavernous sinus thrombosis as a complication of sphenoid sinusitis
title_fullStr A rare case of septic cavernous sinus thrombosis as a complication of sphenoid sinusitis
title_full_unstemmed A rare case of septic cavernous sinus thrombosis as a complication of sphenoid sinusitis
title_short A rare case of septic cavernous sinus thrombosis as a complication of sphenoid sinusitis
title_sort rare case of septic cavernous sinus thrombosis as a complication of sphenoid sinusitis
topic Acute sphenoid sinusitis
Cavernous sinus thrombosis
Children
Cranial nerve palsy
url http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2019;volume=31;issue=1;spage=63;epage=65;aulast=Chen
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