Complications of Sinusitis

1994 ◽  
Vol 8 (4) ◽  
pp. 175-180 ◽  
Author(s):  
Roberto Z. Ognibene ◽  
Richard L. Voegels ◽  
Rogerio L. Bensadon ◽  
Ossamu Butugan
Keyword(s):  
Sinus Thrombosis ◽  
Maxillary Sinusitis ◽  
Radiologic Findings ◽  
Intravenous Antibiotics ◽  
Clinical Presentations ◽  
Eyelid Swelling ◽  
Threatening Condition ◽  
Life Threatening ◽  
Almost All ◽  
Ct And Mri

From 1982 to 1992, 65 patients presented to our service with sinusitis complications. In this report we will analyze our clinical material with emphasis on the type of complications, clinical presentations, and radiologic findings. The most common complication was orbital (83.1%), followed by intracranial (18.5%) and bony (7.7%). There was a higher incidence of complications in the second decade of life (44.6%), and 83.2% of the cases occurred in the third decade of life. The main complaints were orbital swelling (63.1%), fever (33.8%), headache (32.3%), and rhinorrhea (21.5%). The predominant signs were eyelid swelling (73.8%) and rhinorrhea (64.6%). The most frequent radiologic findings (x-ray, CT, MRI) were pansinusitis (40%), maxilloethmoidal sinusitis (24.6%), and maxillary sinusitis (13.8%). All patients were treated with intravenous antibiotics, and surgery was performed in 50.8% of the patients. Almost all patients (98.5%) had a good outcome, and one patient died (cavernous sinus thrombosis). Complicated sinusitis can be a life-threatening condition. CT and MRI are a great aid in the diagnosis of these complications.

scholarly journals Cerebral venous sinus thrombosis

2016 ◽  
Vol 5 ◽  
pp. 48-61
Author(s):  
Golnaz Yadollahikhales ◽  
Afshin Borhani-Haghighi ◽  
Anahid Safari ◽  
Mohammad Wasay ◽  
Randall C.Edgell
Keyword(s):  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Contraceptive Pills ◽  
Contrast Enhanced ◽  
Clinical Presentations ◽  
Threatening Condition ◽  
Life Threatening ◽  
Magnetic Resonance Imaging Mri

Cerebral venous thrombosis (CVT) is occlusion of dural sinuses and/or cortical veins due to clot formation. It is a potentially   life-threatening condition that requires rapid diagnosis and urgent treatment.Cerebral venous thrombosis is   more common in   females and young people. Pregnancy, postpartum state, contraceptive pills,  infection, malignancy,  hyper-coagulable state, rheumatological disorders, trauma are among the major etiologies of cerebral venous thrombosis. Headache, focal neurologic deficits and seizure were the most common clinical presentations. Different techniques of unenhanced and contrast enhanced   brain  computerized tomography(CT scan)  and ,magnetic resonance imaging(MRI) are the most helpful ancillary investigations for diagnosis of Cerebral venous thrombosis.Specific treatment  of the underlying cause of cerebral venous thrombosis should be considered as the mainstay of the treatment. Anticoagulation with heparin or low molecular weight heparinoids  is  the most accepted treatment. In acute phase, medical   or surgical management to decrease intracranial pressure (ICP) is   also recommended. If the patient's clinical   condition aggravates despite adequate anticoagulation, thrombolysis  or mechanical thrombectomy can be an additive option.

scholarly journals DYNAMIC FOLLOW-UP AND PROVING THROUGH COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE IMAGING OF CHANGES IN SECONDARY MENINGOENCEPHALITIS FROM SUPPURATIVE LEFT MAXILLARY SINUSITIS

2020 ◽  
Vol 18 (2) ◽  
pp. 98-104
Author(s):  
M. Mitev ◽  
L. Pekova ◽  
St. Valkanov
Keyword(s):  
Maxillary Sinusitis ◽  
Diagnostic Algorithm ◽  
Resonance Imaging ◽  
Intravenous Contrast ◽  
Progressive Development ◽  
Intravenous Contrast Medium ◽  
Life Threatening ◽  
Ct Finding ◽  
Ct And Mri

Infections of the nervous system and its belonging structures have often been reported as life-threatening conditions. Purpose: the results of dynamic follow-up and proving of changes in secondary meningoencephalitis from suppurative left maxillary sinusitis are presented using the imaging methods - CT and MRI. Methods: diagnostic imaging (CT, MRI), of acute disease in a 13-year-old child with progressive development and proving of secondary bacterial meningoencephalitis. Result: the control CT after two days showed dynamics in the imaging CT finding with the appearance of changes in the type of brain oedema and development of pansinusitis. The MRI data described corresponded to changes as at meningoencephalitis in progress.Conclusion: The extension of the diagnostic algorithm with MRI, with the administration of intravenous contrast medium, clearly demonstrated changes characteristic of meningoencephalitis.

scholarly journals Thoracic aortic aneurysm causing aorto-esophageal fistula—our experience with a rare disease

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Aakriti Yadav ◽  
Uttam Krishna Shrestha ◽  
Kajan Raj Shrestha ◽  
Dinesh Gurung
Keyword(s):  
Aortic Aneurysm ◽  
Thoracic Aortic Aneurysm ◽  
Sudden Onset ◽  
Massive Hemoptysis ◽  
Esophageal Fistula ◽  
Feeding Jejunostomy ◽  
Intravenous Antibiotics ◽  
Threatening Condition ◽  
Life Threatening ◽  
Upper Gastrointestinal

Abstract Aorto-esophageal fistula is a life-threatening condition, accounting for a small number of cases of upper gastrointestinal bleeding where patients present with one or more features of Chiari’s triad. We present the case of a 43-year-old woman, referred to us with symptoms of central chest pain, sudden onset dysphagia followed by massive hemoptysis. She was diagnosed with an aorto-esophageal fistula due to a ruptured thoracic aortic aneurysm and rushed for an emergency endovascular thoracic aortic stent and feeding jejunostomy with intravenous antibiotics and supportive care. After 6 weeks of surgery, the patient was re-evaluated to plan for an esophageal stent if required. The purpose of this presentation is to make the surgical fraternity aware of the gravity of this disease and novel techniques to manage it.

Superior vena cava syndrome: presenting symptom of silent otitis media

1988 ◽  
Vol 102 (7) ◽  
pp. 623-625 ◽  
Author(s):  
Ferit Tovi ◽  
Menachem Hirsch ◽  
Albert Gatot
Keyword(s):  
Otitis Media ◽  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Sinus Thrombosis ◽  
Superior Vena ◽  
Vena Cava ◽  
Lateral Sinus ◽  
Threatening Condition ◽  
Life Threatening ◽  
Vena Cava Syndrome

AbstractAn extensive lateral sinus thrombosis secondary to silent otitis media, in a patient with a nephrotic syndrome, is presented. The thrombotic process progressed asymptomatically until the occlusion of the superior vena cava. Removal of the intractable pathology within the mastoid and administration of appropriate antibiotic therapy, prevented the further propagation of the life-threatening condition.

scholarly journals Celiac Crisis in a Young Woman: Raising Awareness of a Life-Threatening Condition

2019 ◽  
Vol 11 (4) ◽  
pp. 230-233
Author(s):  
Maryam Jameshorani ◽  
Akram Pourshams ◽  
Anahita Sadeghi ◽  
Hiva Saffar ◽  
Reza Malekzadeh
Keyword(s):  
Celiac Disease ◽  
Herbal Medicines ◽  
Hemodynamic Instability ◽  
Deficiency Anemia ◽  
Electrolyte Disturbances ◽  
Celiac Crisis ◽  
Raising Awareness ◽  
Clinical Presentations ◽  
Threatening Condition ◽  
Life Threatening

Celiac crisis is a rare, acute, and life-threatening presentation of celiac disease. Its clinical presentations consist of severe watery non-bloody diarrhea, electrolyte disturbances (i.e. hypokalemia, hyponatremia, hypomagnesemia, hypocalcemia, and metabolic acidosis), hypoproteinemia, and dehydration. Here we present a 33-year-old woman who referred with profuse diarrhea, weight loss, hemodynamic instability, hypokalemia, hypoproteinemia, ascites, pancytopenia, and iron deficiency anemia. She used herbal medicines for constipation and had severe weakness after her childbirth. The patient was diagnosed as having celiac disease through pathological and serological evaluations 10 months earlier. Diagnosis of celiac crisis after ruling out the other causes of resistant celiac was made and she was treated with steroids.

Clinical Course

2020 ◽  
pp. 99-125
Keyword(s):  
Clinical Course ◽  
Cell Damage ◽  
Post Partum ◽  
Thyroid Cell ◽  
Myxedema Coma ◽  
Silent Thyroiditis ◽  
Clinical Presentations ◽  
Threatening Condition ◽  
Life Threatening ◽  
Painless Thyroiditis

The various clinical presentations of Hashimoto's thyroiditis (HT) include euthyroidism and goiter, subclinical hypothyroidism and goiter, primary thyroid failure, hypothyroidism, adolescent goiter, painless thyroiditis or silent thyroiditis, post-partum painless thyrotoxicosis, and alternating hypo- and hyper-thyroidism. Generally, the progress from euthyroidism to hypothyroidism is considered “irreversible” due to thyroid cell damage and loss of thyroidal iodine stores. Myxedema psychosis is a relatively uncommon consequence of hypothyroidism. Myxedema coma, a rare, life-threatening condition, occurs late in the progression of hypothyroidism when the body's compensatory responses to hypothyroidism are overwhelmed by a precipitating factor such as infection, medication, environmental exposure, or other metabolic-related stresses. Several unusual syndromes that are believed to be associated with HT include amyloidosis, interstitial pneumonitis, Vitiligo, hives, and alopecia. Hashimoto's encephalopathy and Hashimoto's ophthalmopathy are rare complications of HT. This chapter explores the clinical course of Hashimoto's disease.

Lemierre's – the sinister sore throat

2007 ◽  
Vol 121 (7) ◽  
pp. 692-694 ◽  
Author(s):  
L M Brown ◽  
B Wallwork
Keyword(s):  
Temporal Lobe ◽  
Clinical Presentation ◽  
Sinus Thrombosis ◽  
Young Male ◽  
Lemierre’S Syndrome ◽  
Venous Infarction ◽  
Threatening Condition ◽  
Life Threatening ◽  
Lemierre's Syndrome ◽  
Management Issues

Lemierre's syndrome is a rare and sometimes life threatening condition that requires prompt management. A case is reported of a previously healthy young male with Lemierre's syndrome. He developed internal jugular vein and cavernous sinus thrombosis, metastatic abscesses in the temporal lobe and lungs, temporal lobe venous infarction and severe thrombocytopaenia. Discussed are aspects of clinical presentation, diagnosis and management issues.

scholarly journals The Knowledge of Nursing Internship Program Students about Early Detection of Sepsis

2021 ◽  
Vol 9 (T6) ◽  
pp. 116-121
Author(s):  
Stefani Stefani ◽  
Yanny Trisyani ◽  
Anita Setyawati
Keyword(s):  
Early Detection ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Clinical Criteria ◽  
Knowledge Deficit ◽  
Threatening Condition ◽  
Life Threatening ◽  
Definition Of ◽  
Almost All ◽  
Sepsis Care

Background: Sepsis is a life-threatening condition due to the failure of the body’s regulation of infection. Knowledge deficit is one of the barriers to early detection and initiation of sepsis care. Nursing internship program students as future nurses need to have sufficient knowledge about early detection of sepsis to support their behavior. Thus, the purpose of this study was to describe the knowledge of nursing internship program students regarding the early detection of sepsis and the demographic factor related to the knowledge.      Methods: The study design was a quantitative study. Through the proportionate stratified non-random sampling technique, the researcher involved 143 nursing internship program students of Universitas Padjadjaran. Data collection used a questionnaire based on the Sepsis-3 guidelines to measure nursing internship program students’ knowledge about early detection of sepsis. The data was carried out in July-August 2021.   Results: The average knowledge score of the respondents was 70.4 (SD=11.9). More than half of the respondents (56.6%) got a score below the average. Almost all respondents do not know the current definition of sepsis and still use the SIRS definition as clinical criteria for sepsis. However, respondents could identify clinical criteria for sepsis based on qSOFA and analyse sepsis indicators based on case scenarios. Meanwhile, based on its characteristics, the information is a factor that significantly affects the knowledge score (p < 0.05).          Conclusion: In conclusion, there is still a gap in the knowledge of the nursing internship program students regarding the update of the Sepsis-3 guidelines. Besides, information is identified as the factor that influences knowledge. Therefore, it suggested that the institution provide further effective educational methods to update students’ knowledge about the early detection of sepsis.

May-Thurner syndrome – Are we aware enough?

VASA ◽  
2019 ◽  
Vol 48 (5) ◽  
pp. 381-388 ◽  
Author(s):  
Katalin Mako ◽  
Attila Puskas
Keyword(s):  
Contraceptive Use ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Vein Thrombosis ◽  
Compression Syndrome ◽  
Threatening Condition ◽  
Life Threatening ◽  
Iliac Vein Compression ◽  
Iliac Vein Compression Syndrome ◽  
The Right

Summary. Iliac vein compression syndrome (May-Thurner syndrome – MTS) is an anatomically variable clinical condition in which the left common iliac vein is compressed between the right common iliac artery and the underlying spine. This anatomic variant results in an increased incidence of left iliac or iliofemoral vein thrombosis. It predominantly affects young women in the second or third decades of life with preponderance during pregnancy or oral contraceptive use. Although MTS is rare, its true prevalence is underestimated but it can be a life-threatening condition due to development of pulmonary embolism (PE). In this case based review the authors present three cases of MTS. All patients had been previously confirmed with PE, but despite they were admitted to hospital, diagnosed and correctly treated for PE and investigated for thrombophilia, the iliac vein compression syndrome was not suspected or investigated. With this presentation the authors would like to emphasize that MTS is mostly underdiagnosed, and it needs to be ruled out in left iliofemoral vein thrombosis in young individuals.

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