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Title

Septic thrombosis of the cavernous sinus secondary to a Streptococcus milleri oral infection
Authors
Imholz, Benoît
Becker, Minerva
Lombardi, Tommaso
Scolozzi, Paolo
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/microbiology — Diagnosis — Differential — Diagnostic Imaging — Humans — Male — Middle Aged — Periodontitis/complications/microbiology/therapy — Streptococcal Infections/complications/diagnosis/microbiology/therapy — Streptococcus milleri Group/isolation & purification — Thrombosis/diagnosis/microbiology/therapy
Identifiers
PMID: 22241881
Full text
Article (Published version) (218 Kb) - public document Free access
Structures
Faculté de médecine / Section de médecine clinique / Département de chirurgie
Faculté de médecine / Section de médecine clinique / Département de radiologie et informatique médicale
Faculté de médecine / Section de médecine dentaire / Enseignement de chirurgie orale et implantologie
Research groups Groupe Becker Minerva (imagerie ORL) (683)
Groupe Lombardi Tommaso (médecine dentaire) (313)
Groupe Scolozzi Paolo (chirurgie maxillo-faciale et buccale) (896)
Citation
(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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