Online citations, reference lists, and bibliographies.

Bilateral Cavernous Sinus Thromboses And Intraorbital Abscesses Secondary To Streptococcus Milleri.

L. Watkins, M. Pasternack, M. Banks, P. Kousoubris, P. Rubin
Published 2003 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
PURPOSE To report the first case of bilateral cavernous sinus thromboses and bilateral intraorbital abscesses secondary to Streptococcus milleri. STUDY DESIGN Single interventional case report. INTERVENTION AND TESTING The findings of the ophthalmic evaluation, radiographic imaging, medical and surgical intervention, specimen cultures, and clinical course were analyzed. RESULTS A 17-year-old female had bilateral proptosis, decreased vision in the left eye, and altered mental status at presentation. An orbital compartment syndrome developed in the left eye and purulent material was present after lateral canthotomy, suggestive of an intraorbital abscess. Magnetic resonance imaging (MRI) scans revealed bilateral cavernous sinus thromboses, and subsequent computed tomographic (CT) scans revealed bilateral intraorbital abscesses in the setting of acute ethmoid and sphenoid sinusitis. Antibiotic treatment and surgical drainage of the orbital abscess and sinuses was performed, and specimen cultures revealed S. milleri. After surgery, the patient experienced hearing loss and a right internal capsule infarct, in addition to complete vision loss in the left eye. A second intraorbital abscess developed in the right eye and was drained surgically. The vision remained 20/20. CONCLUSIONS Streptococcus milleri is a virulent organism with a propensity to form abscesses in multiple areas of the body and should be considered as a possible etiologic agent in abscess formation of the orbit and cavernous sinus thrombosis.
This paper references
10.1097/00006534-198502000-00107
Streptococcus milleri and surgical sepsis.
J. Tresadern (1983)
10.1016/S0161-6420(82)34763-6
Orbital abscess. Presentation, diagnosis, therapy, and sequelae.
G. Krohel (1982)
Orbital compartment syndromes following trauma.
Linberg Jv (1987)
10.1093/clinids/10.2.257
Occurrence and pathogenicity of the Streptococcus milleri group.
J. Gossling (1988)
10.1097/00002341-199112000-00004
Mechanisms of Visual Loss in Severe Proptosis
P. Dolman (1991)
Evaluation of the intracranial dural sinuses with a 3D contrast-enhanced MP-RAGE sequence: prospective comparison with 2D-TOF MR venography and digital subtraction angiography.
L. Liang (2001)
10.1001/archopht.1993.01090030028022
Walsh and Hoyt's Clinical Neuro Ophthalmology
N. Newman (1982)
10.1007/BF00395618
Computed tomographic diagnosis of septic sinus thrombosis and their complications
R. Slegte (1988)
Tributary venosinus occlusion and septic cavernous sinus thrombosis: CT and MR findings.
B. Schuknecht (1998)
Prognosis of septic thrombophlebitis of the cavernous sinus.
Lillie Hi (1951)
10.1177/000348946107000122
The prognosis and treatment of cavernous sinus thrombosis. Review of 878 cases in the literature.
Yarington Ct (1961)
10.1097/00005792-198603000-00002
Septic Thrombosis of the Dural Venous Sinuses
F. Southwick (1986)
10.1111/j.1442-9071.1991.tb00654.x
Septic cavernous sinus thrombosis.
N. Miller (1991)
10.1038/EYE.2000.226
The importance of recognising Streptococcus milleri as a cause of orbital cellulitis
J. Ball (2000)
10.1097/00002341-199603000-00001
Subperiosteal Abscess of the Orbit: Computed Tomography and the Clinical Course
G. J. Harris (1996)
10.1007/BF00548202
Fat in the normal cavernous sinus
T. Hosoya (1986)
10.1177/000348944805700101
I Orbital Complications Resulting from Lesions of the Sinuses
A. T. Smith (1948)
10.1016/0002-9394(82)90275-6
Walsh and Hoyt's Clinical Neuro-Ophthalmology, 4th ed
N. Newman (1982)
10.1288/00005537-198901000-00005
Space‐occupying orbital lesions: Can critical increases in intraorbital pressure be predicted clinically?
R. Stanley (1989)
10.3171/jns.1975.43.3.0288
Microsurgical anatomy of the sellar region.
W. Renn (1975)
10.1017/S0022215100158311
Antibiotic choice in acute and complicated sinusitis.
S. Mortimore (1998)
Treatment of maxillary sinusitis.
C. Ekedahl (1983)
10.1177/019459989110400604
Blindness Resulting from Orbital Complications of Sinusitis
B. Patt (1991)
10.1159/000310635
Magnetic resonance imaging in the early diagnosis of cavernous sinus thrombosis.
H. Igarashi (1995)
10.1001/archopht.1988.01060140093032
Subperiosteal inflammation of the orbit. A bacteriological analysis of 17 cases.
G. J. Harris (1988)
10.1001/archopht.1984.01040030078040
Septic cavernous sinus thrombosis associated with gingivitis and parapharyngeal abscess.
R. Harbour (1984)
10.1288/00005537-198103000-00004
Aerobic and anaerobic bacterial flora of normal maxillary sinuses
I. Brook (1981)
10.1097/00005537-199811000-00009
Suppurative intracranial complications of sinusitis
R. Gallagher (1998)
10.1288/00005537-198605000-00018
Clinical implications of orbital cellulitis
K. Jackson (1986)
10.1001/ARCHOTOL.127.6.650
Streptococcus milleri: an organism for head and neck infections and abscess.
J. Han (2001)
10.1001/archopht.1987.01060030065027
Acute severe irreversible visual loss with sphenoethmoiditis-'posterior' orbital cellulitis.
M. Slavin (1987)
10.1016/S0161-6420(94)31297-8
Subperiosteal abscess of the orbit. Age as a factor in the bacteriology and response to treatment.
G. J. Harris (1994)
10.1212/WNL.38.4.517
The role of anticoagulation in cavernous sinus thrombosis
S. Levine (1988)
10.1288/00005537-197009000-00007
The pathogenesis of orbital complications in acute sinusitis
J. R. Chandler (1970)
CT observations pertinent to septic cavernous sinus thrombosis.
J. Ahmadi (1985)
10.1097/00004397-199603630-00019
Potential Sources for Orbital Cellulitis
S. Rumelt (1996)
10.1017/S0022215100147668
Complications of sinusitis caused by Streptococcus milleri.
A. Blayney (1984)
Cavernous sinus thrombosis diagnostic approach.
J. Berge (1994)
10.7326/0003-4819-114-9-818_5
Principles and Practice of Infectious Diseases
G. Mandell (1979)



This paper is referenced by
10.1016/j.jaapos.2015.06.001
Ophthalmic manifestations and outcomes after cavernous sinus thrombosis in children.
G. S. Frank (2015)
10.32448/ENTUPDATES.576655
Approach to Orbital Complications in Rhinosinusitis
Serkan Çayir (2019)
10.35420/JCOHNS.2016.27.2.344
A Case of Nasal tip Abscess Caused by Methicillin Resistant Staphylococcus Aureus in a Immunocompromised Patient
정회준 (2016)
10.1080/01676830600675418
Septic Cavernous Sinus Thrombosis with Bilateral Secondary Orbital Infection
A. Goawalla (2007)
10.1111/j.1442-9071.2011.02622.x
Late‐onset persistent epithelial ingrowth following uncomplicated clear corneal incision cataract surgery
P. Vinciguerra (2012)
10.1016/J.OHC.2004.05.002
Systemic infections of neuro-ophthalmic significance.
A. Lee (2004)
10.1111/j.1442-9071.2011.02642.x
Protein C deficiency with concurrent essential thrombocytosis and orbital compartment syndrome
Michelle T. Sun (2012)
10.1016/j.ophtha.2011.09.047
Streptococcal orbital abscesses.
Sabah A Shah (2012)
10.1016/B978-0-443-06839-3.00204-6
Streptococcus anginosus Group
C. Petti (2010)
10.9734/or/2019/v10i430113
Orbital Abscess Drainage Using Intravenous Cannula: Technique and Advantages
R. Zerrouk (2019)
10.1001/archophthalmol.2011.59
Endogenous endophthalmitis with brain abscesses caused by Streptococcus constellatus.
Lena V. Chheda (2011)
Does an Economic Recession Influence Effectiveness of Glaucoma Treatment
Tamara L. Berezina (2016)
Review of a series with abducens nerve palsy.
G. Ayberk (2008)
10.1016/B978-1-4160-0016-7.50235-6
Infectious Processes of the Orbit
D. Verity (2008)
CAVERNOUS SINUS THROMBOSIS AS A FATAL COMPLICATION OF A DENTAL ABSCESS: A CASE REPORT
Abdelwahhab A. Alwraikat (2010)
Akut sinüzit atağinda frontal sinüs ön duvarindaki defekte bağli olarak gelişen periorbital selülit: Olgu sunumu Periorbital cellulitis caused by defect in front wall of frontal sinus in acute sinusitis attacks: A case report
Cuneyt Kucur (2014)
10.5152/TAO.2014.527
Orbital Complications of Acute Sinusitis: Evaluation, Management, and Results
Murat Gumussoy (2014)
10.1080/01676830.2019.1605613
Delayed implant infection with Cutibacterium acnes (Propionibacterium acnes) 30 years after silicone sheet orbital floor implant
Pornpattana Vichitvejpaisal (2019)
10.7213/AOR.V2I5/6.23010
SERIOUS ORBITAL INFECTION SECONDARY TO PARANASAL SINUSITIS
Antonio Lucindo Pinto de Campos-Sobrinho (2006)
Tuberculoma del seno cavernoso
E. Nathal (2005)
10.1016/j.joms.2013.05.021
Cavernous sinus thrombosis as a result of a fungal infection: a case report.
Andrew Horowitz (2013)
10.1007/978-1-59745-373-8_9
Post-Trabecular Glaucomas with Elevated Episcleral Venous Pressure
A. Paranhos (2008)
Trombose do Seio Cavernoso em Criança de 4 anos com Sinusite – Complicações Oculares
M. Colaço (2013)
10.1259/dmfr/33011853
Septic thrombosis of the cavernous sinus secondary to a Streptococcus milleri oral infection.
B. Imholz (2012)
10.1128/JCM.43.8.4275-4276.2005
Streptococcus anginosus-Associated Endogenous Endophthalmitis Mimicking Fungal Endophthalmitis
O. Hadid (2005)
10.5125/jkaoms.2017.43.5.351
Cavernous sinus thrombosis following dental extraction: a rare case report and forgotten entity
Karun Aggarwal (2017)
10.11604/pamj.2014.19.110.1500
Les abcès orbitaires: à propos de 7 cas
L. Ouaissi (2014)
10.5125/jkaoms.2015.41.1.43
Cavernous sinus thrombosis progression from trismus
J. Y. Cho (2015)
10.1097/IOP.0b013e3181837a31
Medial canthal tophus.
D. Jordan (2008)
10.1016/j.joms.2008.08.030
Bilateral proptosis and jugular vein thrombosis after submandibular abscess.
William J Ruskin (2009)
10.1080/01658107.2016.1230138
Septic Cavernous Sinus Thrombosis: Case Report and Review of the Literature
D. Weerasinghe (2016)
10.5812/IRCMJ.34961
Septic Cavernous Sinus Thrombosis: A Case Report
M. Arian (2016)
See more
Semantic Scholar Logo Some data provided by SemanticScholar