Septic right superior ophthalmic vein thrombosis complicated by left sphenoid sinusitis

Abstract

We report a case of septic right superior ophthalmic vein thrombosis complicated by left sphenoid sinusitis with methicillin-sensitive Staphylococcus aureus (MSSA). Early recognition by clinical symptoms, and computed tonography (CT) and magnetic resolution image (MRI) of the head and sinus is needed for prompt surgical drainage of the sinus and appropriate antimicrobial therapy. The use of steroids and anticoagulation for this condition is still debated.

Bilateral Ophthalmic Vein Thrombosis Secondary to Nasal Furunculosis

“…Septic cavernous sinus thrombosis is usually caused by a contiguous propagation from infection of the ethmoid, sphenoid, or mastoid sinuses (Gomi et al, 2005;Berenholz et al, 1998), or to hematogenous spread from the nose, ear, face, or neck. In a large series of septic cavernous sinus infection, the focus was in the ear in 40%, the orbit or face in 35%, mouth or teeth in 13%, 9% in the nose, and 3% from other sources (Jeghers, 1948).…”

Superior Ophthalmic Vein Thrombosis Induced by Orbital Cellulitis: An Ophthalmic Emergency

“…Suspicion of either optic nerve or orbital involvement should prompt immediate imaging studies and urgent ophthalmology consultation to rule out SOVT and CST [18]. In patients with infectious SOVT, the most common bacteria was Staphylococcus aureus (seven out of 10 cases) [4,6,9,[12][13][14]20], including two cases of methicillin-resistant Staphylococcus aureus (MRSA) [6,14]. Coagulation-negative Staphylococcus and Streptococcus anginosus were also reported [15,21].…”

“…In patients with infectious SOVT, the most common bacteria was Staphylococcus aureus (seven out of 10 cases) [ 4 , 6 , 9 , 12 - 14 , 20 ], including two cases of methicillin-resistant Staphylococcus aureus (MRSA) [ 6 , 14 ]. Coagulation-negative Staphylococcus and Streptococcus anginosus were also reported [ 15 , 21 ].…”

“…The presentation of SOVT varies depending on the underlying pathology, with the most common etiologies being infection, trauma, neoplasm, and vasculitis [1]. The most commonly reported cases of SOVT are associated with infectious etiology of surrounding structures, such as orbital cellulitis (OC) [2][3][4][5][6][7][8], sinusitis [9,10], dental abscess [7,11], and cutaneous infection [12][13][14]. Due to the strong association with orbital cellulitis, suspicion of SOVT is high if the physical examination is suggestive of optic nerve or orbital involvement [1].…”