2008
DOI: 10.1080/01676830802009754
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Bilateral Ophthalmic Vein Thrombosis Secondary to Nasal Furunculosis

Abstract: We were presented with a teenage female who developed superior ophthalmic vein thrombosis and cavernous sinus thrombophlebitis after a 1-week history of a single acne-like lesion or furuncle at the anterior tip of the nose. She was managed aggressively with heparin and intravenous antibiotic. Signs and symptoms improved after 2 weeks of treatment, and she was discharged with an anticoagulant.

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Cited by 14 publications
(5 citation statements)
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“…Suspicion of either optic nerve or orbital involvement should prompt immediate imaging studies and urgent ophthalmology consultation to rule out SOVT and CST [18]. In patients with infectious SOVT, the most common bacteria was Staphylococcus aureus (seven out of 10 cases) [4,6,9,[12][13][14]20], including two cases of methicillin-resistant Staphylococcus aureus (MRSA) [6,14]. Coagulation-negative Staphylococcus and Streptococcus anginosus were also reported [15,21].…”
Section: Discussionmentioning
confidence: 99%
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“…Suspicion of either optic nerve or orbital involvement should prompt immediate imaging studies and urgent ophthalmology consultation to rule out SOVT and CST [18]. In patients with infectious SOVT, the most common bacteria was Staphylococcus aureus (seven out of 10 cases) [4,6,9,[12][13][14]20], including two cases of methicillin-resistant Staphylococcus aureus (MRSA) [6,14]. Coagulation-negative Staphylococcus and Streptococcus anginosus were also reported [15,21].…”
Section: Discussionmentioning
confidence: 99%
“…The presentation of SOVT varies depending on the underlying pathology, with the most common etiologies being infection, trauma, neoplasm, and vasculitis [1]. The most commonly reported cases of SOVT are associated with infectious etiology of surrounding structures, such as orbital cellulitis (OC) [2][3][4][5][6][7][8], sinusitis [9,10], dental abscess [7,11], and cutaneous infection [12][13][14]. Due to the strong association with orbital cellulitis, suspicion of SOVT is high if the physical examination is suggestive of optic nerve or orbital involvement [1].…”
Section: Introductionmentioning
confidence: 99%
“…The cavernous sinuses lie within the cranial cavity, between the layers of meninges and are a major conduit of venous drainage from the brain [12]. They are two irregular shaped, endothelium lined venous spaces, on either side of sphenoid bone with wide connections to the veins draining the face.…”
Section: Discussionmentioning
confidence: 99%
“…Infection-related SOV thromboses require immediate surgical drainage and antibiotic administration to prevent ophthalmologic complications [ 3 ]. Although the utility of anticoagulant therapy for infection-related SOV thrombosis is disputed, we treated our patient with heparin followed by warfarin for a deep venous thrombosis, which seemed to be effective against his SOV thrombosis [ 3 , 6 , 17 ].…”
Section: Discussionmentioning
confidence: 99%