TY - JOUR
T1 - Bilateral cavernous sinus and ophthalmic vein thrombosis secondary to Trueperella pyogenes rhinosinusitis
AU - Calo', Lea
AU - Scarano, Emanuele
AU - Brigato, Francesca
AU - Di Cintio, Giovanni
AU - Galli, Jacopo
PY - 2024
Y1 - 2024
N2 - Ophthalmic vein thrombosis is a severe clinical entity with proptosis, eyelid swelling, orbital pain and reduction of visual acuity; its incidence is rare with 3–4 cases /million /year. Clinical manifestations result from venous congestion caused by septic (orbital cellulitis) or aseptic aetiologies (coagulopathies, trauma) and in some cases it could be associated with cavernous sinus thrombosis. In this paper, we describe a case report unique in the literature, of bilateral cavernous sinus and ophthalmic veins thrombosis due to both septic and aseptic causes characterized by unilateral sphenoid sinusitis sustained by Trueperella pyogenes infection. Trueperella pyogenes is an opportunistic animal pathogen, and its infections occur in both domestic and wild animals worldwide but are rare in humans; this is the first instance of human infection in the head and neck with an unknown hypercoagulable state.
AB - Ophthalmic vein thrombosis is a severe clinical entity with proptosis, eyelid swelling, orbital pain and reduction of visual acuity; its incidence is rare with 3–4 cases /million /year. Clinical manifestations result from venous congestion caused by septic (orbital cellulitis) or aseptic aetiologies (coagulopathies, trauma) and in some cases it could be associated with cavernous sinus thrombosis. In this paper, we describe a case report unique in the literature, of bilateral cavernous sinus and ophthalmic veins thrombosis due to both septic and aseptic causes characterized by unilateral sphenoid sinusitis sustained by Trueperella pyogenes infection. Trueperella pyogenes is an opportunistic animal pathogen, and its infections occur in both domestic and wild animals worldwide but are rare in humans; this is the first instance of human infection in the head and neck with an unknown hypercoagulable state.
KW - Cavernous Sinus Thrombosis
KW - Trueperella pyogenes
KW - Orbital cellulitis
KW - Ophthalmic vein thrombosis
KW - Cavernous Sinus Thrombosis
KW - Trueperella pyogenes
KW - Orbital cellulitis
KW - Ophthalmic vein thrombosis
UR - http://hdl.handle.net/10807/303909
U2 - 10.1007/s12070-024-04505-1
DO - 10.1007/s12070-024-04505-1
M3 - Article
SN - 2231-3796
VL - 76
SP - 2840
EP - 2843
JO - Indian Journal of Otolaryngology and Head and Neck Surgery
JF - Indian Journal of Otolaryngology and Head and Neck Surgery
ER -