دورية أكاديمية
A Rare Complication of Chronic Otitis Media: Septic Thrombosis of the Transverse Sinus and Meningoencephalitis due to a Parameningeal Infection. A Case Report
| العنوان: | A Rare Complication of Chronic Otitis Media: Septic Thrombosis of the Transverse Sinus and Meningoencephalitis due to a Parameningeal Infection. A Case Report |
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| المؤلفون: | Angarita Ramirez, Erika, Hernandez, Enrique Steff, Cordoba, Laura Sofia |
| المصدر: | International Journal of Medical Students; Vol 11. (2023): Supplement 1; S74 ; 2076-6327 |
| بيانات النشر: | University Library System, University of Pittsburgh |
| سنة النشر: | 2023 |
| المجموعة: | International Journal of Medical Students (IJMS) |
| مصطلحات موضوعية: | Septic thrombosis, Dural Venous Sinuses, Meningoencephalitis, Otitis Media, Mastoiditis |
| الوصف: | BACKGROUND: Septic cerebral venous sinus thrombosis or septic cavernous thrombosis is an extremely rare disorder, with 2 to 13 cases per million per year, following the introduction of antibiotics and advances in diagnostic imaging. It is a complex pathology, difficult to diagnose and life threatening. It has a high risk of otoneurologic sequelae, and it requires follow-up by various specialties, as treatment is medical and surgical, including neurology, internal medicine, intensive care, otorhinolaryngology, and infectiology, among others. Due to the low occurrence of septic cavernous thrombosis, the diagnosis may be erroneous or delayed, increasing complications and mortality. It is essential to perform a complete physical examination with emphasis on the ophthalmological, otological, rhinosinusal and neurological examinations, which is why this case is described. THE CASE: We describe a 77-year-old male patient, with history of high blood pressure, nasopharyngeal carcinoma in remission, bilateral hearing loss, prostatic hyperplasia, otitis media, and chronic mastoiditis. He was admitted due sudden onset of difficulty standing, gait instability, mutism, unquantified fever spikes, headache, and vertigo. The initial laboratory tests only revealed a complete blood count with leukocytosis. A simple brain computed tomography (CT) scan did not show relevant findings; therefore, a lumbar puncture (LP) was carried out due to suspicion of bacterial meningoencephalitis. Analysis of cerebrospinal fluid (CSF) showed pleocytosis with a predominance of polymorphonuclear cells, hypoglycorrhachia and hyperproteinorrachia. Empirical antibiotic therapy was started with Vancomycin and Cefepime. At day five since onset of symptoms, he did not have improvements of his symptoms, so a new LP was carried out and antibiotic therapy was escalated. In the CSF it was found an increased cellularity with greater hypoglycorrhachia, persistent hyperproteinorrachia, and cellular shift to lymphocyte predominance. A contrast-enhanced magnetic ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | https://ijms.info/IJMS/article/view/2373/2272Test; https://ijms.info/IJMS/article/view/2373Test |
| DOI: | 10.5195/ijms.2023.2373 |
| الإتاحة: | https://doi.org/10.5195/ijms.2023.2373Test https://ijms.info/IJMS/article/view/2373Test |
| حقوق: | Copyright (c) 2023 Erika Angarita Ramirez, Enrique Steff Hernandez, Laura Sofia Cordoba ; https://creativecommons.org/licenses/by/4.0Test |
| رقم الانضمام: | edsbas.20EBBCC7 |
| قاعدة البيانات: | BASE |
| DOI: | 10.5195/ijms.2023.2373 |
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