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Septic Cavernous Sinus Thrombosis in a Young Male Presenting With Pneumothorax Secondary to Septic Pulmonary Emboli: A Case Report

Septic pulmonary embolism (SPE) is a rare complication that happens when infected thrombi from the original site of infection break off and travel to the pulmonary blood vessels, causing an infarction or an abscess. Cases were reported on SPE, with tricuspid or pulmonary valve endocarditis being the...

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Autores principales: Vempati, Roopeessh, Balusu, Kavya, Dixit, Aishwar, Miriyala, Sri Anugna, Masna, Rishika, Reddy, K. ShashiVardhan, Devaragudi, Sanjana, Khan, Afrasayab, Sahu, Sweta, Venugopal, Vishal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10064528/
https://www.ncbi.nlm.nih.gov/pubmed/37009354
http://dx.doi.org/10.7759/cureus.35636
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author Vempati, Roopeessh
Balusu, Kavya
Dixit, Aishwar
Miriyala, Sri Anugna
Masna, Rishika
Reddy, K. ShashiVardhan
Devaragudi, Sanjana
Khan, Afrasayab
Sahu, Sweta
Venugopal, Vishal
author_facet Vempati, Roopeessh
Balusu, Kavya
Dixit, Aishwar
Miriyala, Sri Anugna
Masna, Rishika
Reddy, K. ShashiVardhan
Devaragudi, Sanjana
Khan, Afrasayab
Sahu, Sweta
Venugopal, Vishal
author_sort Vempati, Roopeessh
collection PubMed
description Septic pulmonary embolism (SPE) is a rare complication that happens when infected thrombi from the original site of infection break off and travel to the pulmonary blood vessels, causing an infarction or an abscess. Cases were reported on SPE, with tricuspid or pulmonary valve endocarditis being the most common primary site, especially in intravenous drug abusers. There are, however, very few reports of SPE brought on by septic cavernous sinus thrombosis (CST). Here, we describe the case of an 18-year-old male who had a pustule on his left eyelid, after which he developed fever, spontaneous swelling of his left eye, followed by his right eye, along with bilateral proptosis and diplopia, and new-onset dyspnea. Auscultation revealed decreased breath sounds in the left lung fields. Magnetic resonance imaging (MRI) revealed cavernous sinus thrombosis. Blood cultures isolated Staphylococcus aureus species. High-resolution computed tomography (HRCT) revealed a left-sided pneumothorax with minimal pleural effusion and multiple nodules scattered among both lungs, suggesting septic pulmonary emboli. We report this case to convey how a minor lesion, that is, an eyelid pustule (stye), can get complicated and set off a spiral of events that takes an unexpected tangent, challenging physicians and necessitating a rigorous approach.
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spelling pubmed-100645282023-04-01 Septic Cavernous Sinus Thrombosis in a Young Male Presenting With Pneumothorax Secondary to Septic Pulmonary Emboli: A Case Report Vempati, Roopeessh Balusu, Kavya Dixit, Aishwar Miriyala, Sri Anugna Masna, Rishika Reddy, K. ShashiVardhan Devaragudi, Sanjana Khan, Afrasayab Sahu, Sweta Venugopal, Vishal Cureus Internal Medicine Septic pulmonary embolism (SPE) is a rare complication that happens when infected thrombi from the original site of infection break off and travel to the pulmonary blood vessels, causing an infarction or an abscess. Cases were reported on SPE, with tricuspid or pulmonary valve endocarditis being the most common primary site, especially in intravenous drug abusers. There are, however, very few reports of SPE brought on by septic cavernous sinus thrombosis (CST). Here, we describe the case of an 18-year-old male who had a pustule on his left eyelid, after which he developed fever, spontaneous swelling of his left eye, followed by his right eye, along with bilateral proptosis and diplopia, and new-onset dyspnea. Auscultation revealed decreased breath sounds in the left lung fields. Magnetic resonance imaging (MRI) revealed cavernous sinus thrombosis. Blood cultures isolated Staphylococcus aureus species. High-resolution computed tomography (HRCT) revealed a left-sided pneumothorax with minimal pleural effusion and multiple nodules scattered among both lungs, suggesting septic pulmonary emboli. We report this case to convey how a minor lesion, that is, an eyelid pustule (stye), can get complicated and set off a spiral of events that takes an unexpected tangent, challenging physicians and necessitating a rigorous approach. Cureus 2023-03-01 /pmc/articles/PMC10064528/ /pubmed/37009354 http://dx.doi.org/10.7759/cureus.35636 Text en Copyright © 2023, Vempati et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Vempati, Roopeessh
Balusu, Kavya
Dixit, Aishwar
Miriyala, Sri Anugna
Masna, Rishika
Reddy, K. ShashiVardhan
Devaragudi, Sanjana
Khan, Afrasayab
Sahu, Sweta
Venugopal, Vishal
Septic Cavernous Sinus Thrombosis in a Young Male Presenting With Pneumothorax Secondary to Septic Pulmonary Emboli: A Case Report
title Septic Cavernous Sinus Thrombosis in a Young Male Presenting With Pneumothorax Secondary to Septic Pulmonary Emboli: A Case Report
title_full Septic Cavernous Sinus Thrombosis in a Young Male Presenting With Pneumothorax Secondary to Septic Pulmonary Emboli: A Case Report
title_fullStr Septic Cavernous Sinus Thrombosis in a Young Male Presenting With Pneumothorax Secondary to Septic Pulmonary Emboli: A Case Report
title_full_unstemmed Septic Cavernous Sinus Thrombosis in a Young Male Presenting With Pneumothorax Secondary to Septic Pulmonary Emboli: A Case Report
title_short Septic Cavernous Sinus Thrombosis in a Young Male Presenting With Pneumothorax Secondary to Septic Pulmonary Emboli: A Case Report
title_sort septic cavernous sinus thrombosis in a young male presenting with pneumothorax secondary to septic pulmonary emboli: a case report
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10064528/
https://www.ncbi.nlm.nih.gov/pubmed/37009354
http://dx.doi.org/10.7759/cureus.35636
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