A Rare Complication of Orbital Cellulitis in a Diabetic Case: Cavernous Sinus Thrombosis

The Journal of Kartal Training and Research Hospital Pub Date : 2016-01-01 DOI:10.5505/JKARTALTR.2016.36097

B. E. Bilir

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Abstract

It is that diabetes mellitus increases tendency to develop infections and thrombosis. Impairment of various mechanisms and agents of humoral and cellular immune systems can be expected. Disturbances of platelet function, coagulation factors, and vascular structure predispose diabetics to thrombotic events. The course of both infections and thrombotic events is often worse than in non-diabetic patients. Presently described is 94-year-old male patient with diabetes who had orbital cellulitis that became complicated with cavernous sinus thrombosis (CST). He was admitted to endocrinology clinic with diagnoses of orbital cellulitis, urinary tract infection, hyperosmolar non-ketotic state, acute renal failure, and compensated metabolic acidosis secondary to uremia. Despite immediate antibiotherapy, hydration, and additional required treatment, patient did not respond and died as a result of CST. There must be awareness, especially for diabetic patients, that orbital infections may spread to nearby cavernous sinuses and cause potentially lethal septic CST. Early diagnosis and immediate treatment are essential. ABSTRACT DOI: 10.5505/jkartaltr.2016.36097 | 10.14744/scie.2017.36097

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糖尿病患者眼眶蜂窝织炎的罕见并发症:海绵窦血栓形成

糖尿病增加了感染和血栓形成的倾向。体液和细胞免疫系统的各种机制和试剂的损伤是可以预期的。血小板功能、凝血因子和血管结构的紊乱使糖尿病患者易发生血栓事件。感染和血栓事件的过程往往比非糖尿病患者更糟。本文报告一位94岁男性糖尿病患者，眼窝蜂窝织炎并发海绵状窦血栓形成。因眼眶蜂窝织炎、尿路感染、高渗非酮症、急性肾功能衰竭、尿毒症继发代偿性代谢性酸中毒而入院内分泌科门诊。尽管立即进行抗生素治疗、水合治疗和其他必要的治疗，但患者没有反应，并因CST死亡。必须认识到，特别是糖尿病患者，眼窝感染可能会扩散到附近的海绵窦，并导致潜在的致命的感染性CST。早期诊断和立即治疗至关重要。摘要DOI: 10.5505/jkartaltr.2016.36097 | 10.14744/scie.2017.36097

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The Journal of Kartal Training and Research Hospital

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