Septic Cavernous Sinus Thrombosis: A Case Report

Abstract

IntroductionSeptic cavernous sinus thrombosis (CST) is a rare condition that can result in high mortality and morbidity rates if not treated immediately. CST may be aseptic or septic. Less common primary sites of infection include the tonsils, soft palate, middle ear, and orbit. Reported cases of middle ear infection are very rare, and response to treatment is poor.Case PresentationThe present study is a case report of acute otitis media which led to septic cavernous sinus thrombosis in a 56-year-old woman in Bojnord city, North Khorasan, Iran.ConclusionsFindings of laboratory tests and magnetic resonance imaging (MRI) confirmed the clinical diagnosis. Clinical-based medical care led to successful management of the patient with broad spectrum intravenous antibiotics that prevented serious complications.

Condom use education, promotion and reasons for condom use: Perspectives of healthcare providers and young adults in Vhembe district, Limpopo province

“…This blaming game could be avoided if educational materials were available and healthcare providers were attending regular workshops on health promotion to improve their skills in health education. This finding is supported by that of researchers such as Arian, Kamali, Tabatabaeichehr and Arashnia, 25 who posit that educational materials are of utmost importance in health promotion systems, as they direct patients’ learning processes and offer additional information on individual conditions. In this regard, all clinics should have printed materials that promote condom use as an essential component of any HIV or AIDS, STI and teenage pregnancy prevention strategy.…”

Septic thrombus of the cavernous sinus

“…Чаще всего к развитию ТКС приводят фурункулы носа (50%), воспалительные процессы в клиновидном и этмоидальных синусах (30%), патология ротовой полости и уха (10%) [20][21][22][23].…”

“…Антибиотик группы карбапенемов: меропенем 6 г/сут внутривенно [23]. Адекватной антибактериальной терапией при ТКС является комбинация ванкомицина и цефтриаксона/ампициллина-сульбактама/пиперациллина-тазобактама [8,12,23]. Сульбактам и тазобактам -лекарственные средства, подавляющие действие β-лактамазы, используются в комбинации с другими антибиотиками.…”

Cavernous Sinus Thrombosis Secondary to Retro-Orbital Abscess

“…MRI and venogram are more sensitive methods which have been proposed to reveal flow parameters. Findings may include a heterogenous signal from abnormal cavernous sinus and hyper intense signal of the thrombosed vascular sinuses, along with the deformity of the cavernous portion of internal carotid artery [1]. External ophthalmoplegia, defined as paralysis of extra-ocular muscles (in the case of CST, Secondary to dysfunction of third, fourth and sixth cranial nerves, rather than direct involvement of extra-ocular muscles), usually includes all the extra-ocular muscles [2].…”