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Septic thrombosis of the cavernous sinus secondary to a Streptococcus milleri oral infection

Published in Dento-maxillo-facial radiology. 2012, vol. 41, no. 6, p. 525-8
Abstract Septic thrombosis of the cavernous sinus (STCS) is an uncommon and potentially lethal disease. Sphenoid and ethmoid sinusitis followed by facial cutaneous infections represents the most common aetiologies, with Staphylococcus aureus as the main responsible organism followed by the Streptococcus pneumoniae. Although all infectious foci of the head and neck area can potentially spread to the cavernous sinus, STCS from oral infection is an exceptionally rare occurrence. We report the unusual case of a patient who presented with an acute STCS secondary to a generalized Streptococcus milleri periodontitis. This case highlights the importance of systematically performing a detailed examination of the oral cavity in patients presenting with intracranial infections caused by uncommon pathogens such as the Streptococcus milleri group.
Keywords Cavernous Sinus/microbiologyDiagnosisDifferentialDiagnostic ImagingHumansMaleMiddle AgedPeriodontitis/complications/microbiology/therapyStreptococcal Infections/complications/diagnosis/microbiology/therapyStreptococcus milleri Group/isolation & purificationThrombosis/diagnosis/microbiology/therapy
PMID: 22241881
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Research groups Groupe Becker Minerva (imagerie ORL) (683)
Groupe Lombardi Tommaso (médecine dentaire) (313)
Groupe Scolozzi Paolo (chirurgie maxillo-faciale et buccale) (896)
(ISO format)
IMHOLZ, Benoît et al. Septic thrombosis of the cavernous sinus secondary to a Streptococcus milleri oral infection. In: Dento-maxillo-facial radiology, 2012, vol. 41, n° 6, p. 525-8. doi: 10.1259/dmfr/33011853 https://archive-ouverte.unige.ch/unige:26272

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Deposited on : 2013-02-07

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