Unusual cause of acute sinusitis and orbital abscess in COVID-19 positive patient: Case report

Shires, Courtney B.; Klug, Theodore; Dryden, Stephen C; Ford, Joshua

doi:10.1016/j.ijscr.2021.01.043

Cited by 17 publications

(23 citation statements)

References 27 publications

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“…Acute limb ischemia as a result of hypercoagulability state was also reported by Shires et al [7], increased thromboembolic complications in COVID-19 patients reported among COVID-19 patients even those received anticoagulants. They suggested that a hypercoagulability state may cause ischemic conditions in the musculoskeletal system, especially in bones and cartilages.…”

Section: Discussionsupporting

confidence: 62%

Osteodiscitis Post- COVID-19 Infection: A Case Series

Rezvani

Zohrevand

Namazee

et al. 2021

Preprint

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Background: Coronavirus disease (COVID-19) is an infectious disease. It affects almost all organs of the human body. Lumbar osteodiscitis is an infection of the vertebral body and disc. The association of COVID-19 with osteodiscitis has not been reported in the literature so far. The purpose of this study was to describe a series of four cases manifested as post-COVID-19 osteodiscitis.Case presentation: We performed a retrospective assessment of the clinical, radiological, and microbiological features of adult post-COVID-19 patients who underwent surgery for unstable lumbar osteodiscitis at our hospital. The mean age of patients was 45.8±7.8 years. All the patients were treated according to their clinical conditions through a combined surgical approach as laminectomy, facetectomy, pedicular screw insertion, and fusion. The clear causes of infection were not recognized by routine methods, and COVID-19 was the only common factor in patients in the last 6 to 8 weeks.Conclusions: This case series suggest that osteodiscitis could be one of the possible side effects after COVID-19 infection.

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Section: Discussionsupporting

confidence: 62%

Osteodiscitis Post- COVID-19 Infection: A Case Series

Rezvani

Zohrevand

Namazee

et al. 2021

Preprint

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“…Osteomyelitis of the jaw is becoming a relatively rare entity due to better oral hygiene, dental care, and the widespread use of antibiotics. Nevertheless, during the COVID-19 pandemic, there has been an increasing number of reports of osteomyelitis of facial bones (8) as well as an increased number of deep neck infections (9).…”

Section: Discussionmentioning

confidence: 99%

Osteomyelitis of the Jaw in COVID-19 Patients: A Rare Condition With a High Risk for Severe Complications

Pavić

Zubčić

2022

Front. Surg.

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Osteomyelitis of the jaw is an uncommon infection that arises from the flora of the oral cavity or sinuses and affects immunocompromised and polymorbid patients. Treatment includes surgical debridement and long regiments of broad-spectrum antibiotics. We present three cases of complicated jaw osteomyelitis presented with concurrent COVID-19 infection, including only two reported cases of odontogenic COVID-related osteomyelitis. The two mandibular cases were patients in their 30s with no comorbidities. The first case was an asymptomatic COVID-19-positive patient who developed an odontogenic infection after tooth extraction that was complicated by the second bout of abscess formation and localized osteomyelitis. The second case was a COVID-19-positive patient with an odontogenic infection that presented as airway compromise due to trismus and neck edema, which required an emergency tracheotomy. He developed osteomyelitis of the mandibular ramus that was reconstructed with a titanium plate. The third case was a polymorbid post-COVID-19 patient who developed a protracted infection of the maxillary sinus that resulted in the loss of an eye, destruction of the maxilla, palate, and parts of nasal cavum, and oronasal incontinence. The defect was reconstructed with a microvascular anterolateral thigh flap. We hypothesize that COVID-19-related immune dysfunction and microvascular changes contributed to osteomyelitis in our patients.

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“…5,7 Shires et al described a case of sinusitis and orbital abscess. 8 Sino-orbital mucormycosis has been noted in patients with moderate to severe COVID-19 and is usually associated with underlying diabetes; a 50% mortality was reported. 5 Noninfectious orbital inflammation associated with COVID-19 is rare.…”

Section: Discussionmentioning

confidence: 99%

Suspected orbital myositis associated with COVID-19

Armstrong

Murchison

Bilyk

2021

Orbit

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A 44-year-old male patient developed proptosis, edema, and erythema progressing to complete ptosis and supraduction deficit 2 days after positive COVID-19 test. He failed to improve on systemic antibiotics. MRI showed thickening and T2 enhancement of the superior rectus/levator complex consistent with orbital myositis. He improved on intravenous corticosteroids and experienced continued gradual improvement on oral steroids.

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Unusual cause of acute sinusitis and orbital abscess in COVID-19 positive patient: Case report

Cited by 17 publications

References 27 publications

Osteodiscitis Post- COVID-19 Infection: A Case Series

Osteodiscitis Post- COVID-19 Infection: A Case Series

Osteomyelitis of the Jaw in COVID-19 Patients: A Rare Condition With a High Risk for Severe Complications

Suspected orbital myositis associated with COVID-19

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