Bilateral Septic Cavernous Sinus Thrombosis Following the Masticator and Parapharyngeal Space Infection from the Odontogenic Origin: A Case Report†
Weerawat Kiddee MD*, Passorn Preechawai MD*, Siriporn Hirunpat MD**
Affiliation : † This study was presented as poster in part of the World Ophthalmology Congress (WOC) annual meeting 2008, 28 June- 2 July, 2008; Hong Kong, China * Department of Ophthalmology, Faculty of Medicine, Prince of Songkla University, HatYai, Songkhla, Thailand ** Department of Radiology, Faculty of Medicine, Prince of Songkla University, HatYai, Songkhla, Thailand
Neglect of odontogenic infections can have serious consequences. If they spread through fascial planes and intracranially they can cause an abscess, orbital cellulitis, and eventually cavernous sinus thrombosis. The authors report a case of rapid progressive bilateral orbital cellulitis and cavernous sinus thrombosis that originated from dental caries. Septic cavernous sinus thrombosis is a medical emergency. Early recognition and prompt treatments direct to the underlying sources of infection are crucial. Broad-spectrum intravenous antibiotics are the mainstay of treatment to reduce morbidity and mortality from this lethal condition. Management should be based on early diagnosis and prompt management with intravenous broad-spectrum antibiotics and surgical intervention.
Keywords : Dental infection, Parapharyngeal space infection, Orbital cellulitis, Septic cavernous sinus thrombosis, Antibiotic therapy, Pseudomonas aeruginosa
