@entity3553 , @entity733 , and septic cavernous sinus @entity2268 secondary to paranasal XXXX : case report.

@entity1 @entity1244 @entity227 @entity32 @entity3553 @entity932 @entity1276 @entity4 @entity16 @entity3509 @entity2268 @entity735 @entity4614 @entity733 @entity158 @entity10 @entity221 @entity18184
OBJECTIVE AND IMPORTANCE: @entity3509 , @entity733 , and septic cavernous sinus @entity2268 are all rare and potentially lethal conditions. The occurrence of all three in a single @entity1 has not previously been described. We present such a case occurring in a young, otherwise healthy @entity1 . CLINICAL PRESENTATION: A 26-year-old @entity1 with a remote history of @entity1244 developed rapidly progressive @entity10 , @entity221 , right eye @entity158 , @entity4 , proptosis, and @entity227 . Magnetic resonance imaging demonstrated diffuse pansinusitis, including @entity18184 , and extension of @entity32 and infection into the adjacent cavernous sinuses, pituitary gland, and posterior fossa. INTERVENTION: Urgent drainage of the ethmoid and maxillary sinuses was performed; pus was not identified. The @entity1 continued to deteriorate clinically with worsening of visual acuity. Computed tomography of the head performed the next day revealed worsening @entity1276 and an enlarging @entity3553 . Urgent ventricular drainage and evacuation of the @entity3509 was performed, and subsequently, the @entity1 's clinical course improved. The microbiology results revealed alpha hemolytic streptococcus and coagulase-negative staphylococcus species. The @entity1 survived but during the follow-up period had a @entity735 and @entity4614 . CONCLUSION: Paranasal @entity1244 can have devastating @entity932 . Involvement of the adjacent pituitary gland and cavernous sinuses can result in serious @entity16 or mortality, and retrograde spread of infection through the basal venous system can result in subdural or parenchymal brain involvement. A high index of suspicion and aggressive medical and surgical treatment are crucial for @entity1 survival, but the morbidity rate remains high. Our @entity1 survived but lost anterior pituitary function and vision in his right eye.
