안와내 농양을 동반한 양측 해면정맥굴혈전증 1예

• 영문명: A Case of Bilateral Cavernous Sinus Thrombosis with Intraorbital Abscess
• 발행기관: 대한안과학회
• 저자명: 구남균 김진희 이세엽,Nam-Kyun Koo, M.D., Jin-Hee Kim, M.D., Se-Youp Lee, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number4, 731~735쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.04.30

영문 초록

Purpose: We report a case of bilateral cavernous sinus thrombosis and unilateral intraorbital abscess in a patient suffering proptosis, a limitation of ocular movement, and visual disturbance. Methods: After several days of febrile and chilling sensation, a 49-year-old man suffered from vision loss, a limitation of ocular movement in all directions, proptosis in the right eye and mild abduction limitation in the left eye. Brain MRI, indicated inflammation in the bilateral cavernous sinuses and intraorbital abscess in the right eye, leading to a diagnosis of cavernous sinus thrombosis. Systemically, the patient was treated with antibiotics and steroid injection. For intraorbital abscess, aspiration and antibiotics injection were administered locally. The patient improved overall and the abscess size decreased. Blood culture showed α-hemolytic Streptococcus. The Gram stain of the specimen from the intraorbital abscess revealed Gram-positive cocci but no specific strain was cultured. Results: We believe that proptosis in the right eye, intraorbital abscess, limitation of ocular movement, retinal hemorrhage, and optic atrophy were due to α-hemolytic Streptococcus, which had spread to the cavernous sinus and right orbit through the vascular system. Conclusions: We report a case of bilateral cavernous sinus thrombosis and intraorbital abscess in the right eye in a patient who suffered from sepsis caused by α-hemolytic Streptococcus.

키워드

α-hemolytic Streptococcus, Cavernous sinus thrombosis, Intraorbital abscess