持続性メチシリン耐性黄色ブドウ球菌血症を合併した敗血症性両側性海綿体副鼻腔血栓症

Septic Bilateral Cavernous Sinus Thrombosis With Persistent Methicillin-Resistant Staphylococcus Aureus Bacteremia.

• Rajesh Kotagiri
• Aaron T Saunders

抄録

敗血症性海綿体洞血栓症（CST）は、非特異的な徴候や症状によって特徴づけられる非常にまれな診断である。この症例は、敗血症性CSTにおける重大な罹患率と死亡率を浮き彫りにしたものである。

Septic cavernous sinus thrombosis (CST) is an extremely rare diagnosis that is characterized by nonspecific signs and symptoms. It is often precipitated by a recent facial or sinus infection, as the venous supply from these areas drains into the cavernous sinus. This case highlights significant morbidity and mortality in septic CST where all aggressive treatments did not lead to clinical improvement, and the precipitating cause of the thrombosis was never found. The patient reported herein decompensated despite several investigations and treatment measures due to the lack of proper evidence-based approach.

Copyright © 2020, Kotagiri et al.