A Case of Sphenoid Sinusitis With Epidural Abscess due to Fungal Infection and Mixed Infection With Eikenella corrodens and Aggregatibacter segnis
We report a case of sphenoiditis with an epidural abscess due to a fungal infection and a mixed infection with Eikenella corrodens and Aggregatibacter segnis and its clinical course, including a literature review. The patient was a 60-year-old woman who visited the emergency department of our hospit...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/crot/7328742 |
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| author | Momotaro Harano Shiori Tanaka Kohei Inomata Shoji Naito Hidenori Yokoi |
| author_facet | Momotaro Harano Shiori Tanaka Kohei Inomata Shoji Naito Hidenori Yokoi |
| author_sort | Momotaro Harano |
| collection | DOAJ |
| description | We report a case of sphenoiditis with an epidural abscess due to a fungal infection and a mixed infection with Eikenella corrodens and Aggregatibacter segnis and its clinical course, including a literature review. The patient was a 60-year-old woman who visited the emergency department of our hospital with complaints of a sudden right-sided headache that had persisted for 5 days and vomiting for 1 day. She was admitted to the hospital for an examination. Blood test results indicated a strong inflammatory reaction, and a blood culture revealed Gram-negative bacilli. Based on computed tomography and magnetic resonance imaging findings, right sphenoid sinus mycosis and a right-sided epidural hematoma were suspected, and therefore, endoscopic sinus surgery was performed. Thinning and pulsation of the right lateral wall of the sphenoid sinus were noted intraoperatively. The patient also had bacteremia, and the epidural hematoma was considered to be an abscess. The patient’s symptoms improved postoperatively. Thus, she was discharged 20 days following the surgery after continuous administration of meropenem for the right-sided epidural abscess. Although cases of epidural abscesses due to infection of the sphenoid sinus are rare, in patients with severe headaches, the presence or absence of intracranial spread at an early stage must be considered to accurately diagnose and treat the pathology. |
| format | Article |
| id | doaj-art-c4bdb7e0339240e89e3f87e3af5a4f2e |
| institution | Kabale University |
| issn | 2090-6773 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-c4bdb7e0339240e89e3f87e3af5a4f2e2025-08-25T00:00:02ZengWileyCase Reports in Otolaryngology2090-67732025-01-01202510.1155/crot/7328742A Case of Sphenoid Sinusitis With Epidural Abscess due to Fungal Infection and Mixed Infection With Eikenella corrodens and Aggregatibacter segnisMomotaro Harano0Shiori Tanaka1Kohei Inomata2Shoji Naito3Hidenori Yokoi4Department of OtolaryngologyDepartment of Otolaryngology, Head and Neck SurgeryDepartment of OtolaryngologyDepartment of OtolaryngologyDepartment of OtolaryngologyWe report a case of sphenoiditis with an epidural abscess due to a fungal infection and a mixed infection with Eikenella corrodens and Aggregatibacter segnis and its clinical course, including a literature review. The patient was a 60-year-old woman who visited the emergency department of our hospital with complaints of a sudden right-sided headache that had persisted for 5 days and vomiting for 1 day. She was admitted to the hospital for an examination. Blood test results indicated a strong inflammatory reaction, and a blood culture revealed Gram-negative bacilli. Based on computed tomography and magnetic resonance imaging findings, right sphenoid sinus mycosis and a right-sided epidural hematoma were suspected, and therefore, endoscopic sinus surgery was performed. Thinning and pulsation of the right lateral wall of the sphenoid sinus were noted intraoperatively. The patient also had bacteremia, and the epidural hematoma was considered to be an abscess. The patient’s symptoms improved postoperatively. Thus, she was discharged 20 days following the surgery after continuous administration of meropenem for the right-sided epidural abscess. Although cases of epidural abscesses due to infection of the sphenoid sinus are rare, in patients with severe headaches, the presence or absence of intracranial spread at an early stage must be considered to accurately diagnose and treat the pathology.http://dx.doi.org/10.1155/crot/7328742 |
| spellingShingle | Momotaro Harano Shiori Tanaka Kohei Inomata Shoji Naito Hidenori Yokoi A Case of Sphenoid Sinusitis With Epidural Abscess due to Fungal Infection and Mixed Infection With Eikenella corrodens and Aggregatibacter segnis Case Reports in Otolaryngology |
| title | A Case of Sphenoid Sinusitis With Epidural Abscess due to Fungal Infection and Mixed Infection With Eikenella corrodens and Aggregatibacter segnis |
| title_full | A Case of Sphenoid Sinusitis With Epidural Abscess due to Fungal Infection and Mixed Infection With Eikenella corrodens and Aggregatibacter segnis |
| title_fullStr | A Case of Sphenoid Sinusitis With Epidural Abscess due to Fungal Infection and Mixed Infection With Eikenella corrodens and Aggregatibacter segnis |
| title_full_unstemmed | A Case of Sphenoid Sinusitis With Epidural Abscess due to Fungal Infection and Mixed Infection With Eikenella corrodens and Aggregatibacter segnis |
| title_short | A Case of Sphenoid Sinusitis With Epidural Abscess due to Fungal Infection and Mixed Infection With Eikenella corrodens and Aggregatibacter segnis |
| title_sort | case of sphenoid sinusitis with epidural abscess due to fungal infection and mixed infection with eikenella corrodens and aggregatibacter segnis |
| url | http://dx.doi.org/10.1155/crot/7328742 |
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