Septic cavernous sinus thrombosis due toCampylobacter rectusinfection

Leo, Qi Jie Nicholas; Bolger, Dennis T.

doi:10.1136/bcr-2013-203351

Cited by 20 publications

(15 citation statements)

References 6 publications

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“…Fungal infection should be suspected in immunocompromised patients. Blood cultures are positive in 70% of cases while CSF cultures in nearly 20%, in the absence of previous antibiotic treatment 11. The duration of antibiotic therapy is at least 3–4 weeks in accordance with other intravascular infections.…”

Section: Discussionmentioning

confidence: 98%

Cavernous sinus thrombosis due to ipsilateral sphenoid sinusitis

et al. 2019

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We report a case of septic thrombosis of the right cavernous sinus in a diabetic woman in her late 70’s due to ipsilateral sphenoid sinusitis. The diagnosis was delayed and made only after the abrupt and dramatic appearance of the manifestations of sinus thrombosis. The patient developed, among the other symptoms, right peripheral facial palsy, which is a very rare manifestation in cavernous sinus thrombosis (CST). She was treated with broad-spectrum antibiotics and enoxaparin. The day of the scheduled drainage of sphenoid sinus—24 hours after the initiation of anticoagulation—she developed fatal subarachnoid haemorrhage. Our case demonstrates the difficulty of timely diagnosis of acute sphenoid sinusitis which has emerged as the most common primary infectious source potentially leading in CST. It also underscores the uncertainty concerning the use of anticoagulation in cerebral sinus thrombosis of infectious origin.

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Section: Discussionmentioning

confidence: 98%

Cavernous sinus thrombosis due to ipsilateral sphenoid sinusitis

et al. 2019

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“…Our case was also complicated with Campylobacter rectus infection. There have been only three reports of intracranial infection by Campylobacter rectus ( 3 , 19 , 20 ) including cases of cavernous sinus thrombosis, rupture of an aneurysm caused by a subdural abscess, and multiple abscesses in the skull base and brain. To our knowledge, ours is the second reported case of central skull-base osteomyelitis and cavernous sinus thrombosis related to Campylobacter rectus infection.…”

Section: Discussionmentioning

confidence: 99%

Clival Osteomyelitis with Cavernous Sinus Thrombosis Due to Fusobacterium nucleatum and Campylobacter rectus Induced by Tooth Extraction

et al. 2018

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A 70-year-old woman who had suffered from aseptic meningitis complained of chronic headache after dental treatment including tooth extraction. She developed a fever and respiratory failure. Based on chest computed tomography and head magnetic resonance imaging (MRI), she was diagnosed with osteomyelitis in the clivus accompanying moderate pituitary involvement, cavernous sinus thrombosis and septic pulmonary embolism. Both of the causal bacteria, Fusobacterium nucleatum and Campylobacter rectus, were isolated from her blood. Dual infection leading to clival osteomyelitis and cavernous sinus thrombosis has not been reported. It is important to perform enhanced MRI and blood culture for patients with chronic headache related to dental treatment.

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“…Finally, an invasive procedure performed close to a site infected with CR contributes to hematogenous spread. Cases of maxillary and cerebral infections were reported following dental avulsions [9,13], the case of a breast abscess following nipple piercing [11], and a ligation-transection of the Fallopian tubes followed by a tubo-ovarian abscess in the case we are dealing with. Three cases do not have identified risk factors [14][15][16].…”

Section: Discussionmentioning

confidence: 95%

“…As a whole, 15 cases of extra-oral infections with CR were reported in published clinical data, affecting different tissues (Table 1) [4][5][6][7][8][9][10][11][12][13][14][15][16]. The patient's recovery mainly depends upon his general health condition, the site affected by the infection but also a quick identification of CR and the provision of a proper and efficient treatment.…”

Section: Discussionmentioning

confidence: 99%

Pelvic Peritonitis Caused by Campylobacter rectus Infection: Case Report and Literature Review

Veyrine¹,

Sturque²,

Zlowodski³

et al. 2019

J Med Cases

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Campylobacter rectus (CR) is an exclusively oral, Gram-negative anaerobe and mobile bacterium that shows a wide range of virulence factors. A 41-year-old woman came to the emergency department because she felt intense radiating pain in the whole abdomen. A molecular biology analysis rapidly revealed a tubo-ovarian abscess caused by CR. A focal infection of periodontal origin was the most probable; nevertheless the possibility of a cross-contamination from her husband suffering from an active periodontal disease was the subject of discussions. The incidence of focal infections due to CR is probably underestimated. The introduction of molecular biology in common practice should reveal a larger number of CR focal infection cases but more generally speaking of bacteria from the oral cavity.

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Septic cavernous sinus thrombosis due toCampylobacter rectusinfection

Cited by 20 publications

References 6 publications

Cavernous sinus thrombosis due to ipsilateral sphenoid sinusitis

Cavernous sinus thrombosis due to ipsilateral sphenoid sinusitis

Clival Osteomyelitis with Cavernous Sinus Thrombosis Due to <i>Fusobacterium nucleatum</i> and <i>Campylobacter rectus</i> Induced by Tooth Extraction

Pelvic Peritonitis Caused by Campylobacter rectus Infection: Case Report and Literature Review

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