PMID: 9438055Jan 23, 1998Paper

Septic thrombosis of orbital vessels due to cutaneous nasal infection

American Journal of Rhinology
T G SanchezA Miniti

Abstract

The authors describe two cases of cutaneous nose infection that quickly spread and extended to the orbital venous complex. At first glance, the clinical presentation could be mistaken for a complicated sinusal infection; therefore, the evaluation of the sinuses, by means of physical examination and radiological investigation, was of great concern, showing that there was no important pathology in the sinuses. The CT scan and the color Doppler imaging (orbital ultrasound with Doppler) demonstrated, throughout the development of the disease, that the superior ophthalmic vein was affected in both patients and the cavernous sinus in one of them. On physical examination, chemosis of the conjunctiva, proptosis, and edema of the eyelids were prominent. Patients improved only after appropriate intravenous antibiotic therapy against staphylococcus (clindamycin) and corticosteroids, making one conclude that treatment of this disease should be initiated as soon as possible in order to decrease morbidity and mortality.

References

Feb 1, 1984·Journal of Computer Assisted Tomography·R G PeysterN J Schatz
Jan 1, 1995·The British Journal of Ophthalmology·T H WilliamsonG M Baxter

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Citations

Dec 6, 2011·Journal of Ophthalmic Inflammation and Infection·Courtney L Kraus, Susan M Culican
Sep 23, 2003·Survey of Ophthalmology·Michael A GrassiJeffrey A Nerad
Jun 15, 2007·Infectious Disease Clinics of North America·Kevin B Laupland
May 25, 2010·Clinical & Experimental Ophthalmology·John Zhang, Mark D Stringer
Apr 6, 2004·Immunology and Allergy Clinics of North America·Paul Van CauwenbergeJean-Baptiste Watelet
Jun 1, 2014·Ophthalmic Plastic and Reconstructive Surgery·Pari N ShamsDinesh Selva
Nov 13, 2002·Clinical & Experimental Ophthalmology·Tze Foon LaiWilfred Winlaw

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