Faculty Collaboration Database

Bilateral intraorbital abscesses and cavernous sinus thromboses secondary to Streptococcus milleri with a favorable outcome. Ophthalmic Plast Reconstr Surg 2008;24(5):408-10

Date

09/23/2008

Pubmed ID

18806667

DOI

10.1097/IOP.0b013e318182aff7

Scopus ID

2-s2.0-52649101550 (requires institutional sign-in at Scopus site)   17 Citations

Abstract

A 51-year-old woman with left proptosis, diplopia, headache, and nausea was found to have bilateral intraorbital abscesses, left superior ophthalmic vein thrombosis, bilateral cavernous sinus thromboses, and a left temporal lobe intracerebral abscess. Because the paranasal sinuses were unaffected, a dental origin was suspected and confirmed. The causative organism was Streptococcus milleri. Aggressive surgical intervention included bilateral orbital abscess drainage and dental extraction, and medical therapy included intravenous metronidazole, ceftriaxone, heparin, and methylprednisolone. A left sixth cranial nerve paresis was the only long-term sequela.

Author List

Udaondo P, Garcia-Delpech S, Díaz-Llopis M, Salom D, Garcia-Pous M, Strottmann JM

Author

James M. Strottmann MD Associate Professor in the Radiology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Abscess
Anti-Bacterial Agents
Cavernous Sinus Thrombosis
Combined Modality Therapy
Drainage
Drug Therapy, Combination
Eye Infections, Bacterial
Female
Functional Laterality
Humans
Magnetic Resonance Imaging
Middle Aged
Orbital Diseases
Streptococcal Infections
Streptococcus milleri Group
Tooth Extraction
Treatment Outcome