Thrombophlebitis of the temporal vein as an extracranial complication of acute bacterial rhinosinusitis

Huth, Markus; Caversaccio, Marco (2015). Thrombophlebitis of the temporal vein as an extracranial complication of acute bacterial rhinosinusitis. Ear, nose & throat journal, 94(8), E48-E51. Vendome Group

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A 39-year-old white man presented with a swollen left upper eyelid secondary to progressive acute bacterial rhinosinusitis (ABRS). Physical examination found a 40% reduction in vision in the left eye and right-sided erythematous temporal swelling with tenderness to palpation. Computed tomography revealed the presence of an inflammatory lesion in the left orbit. Duplex ultrasonography demonstrated a thrombotic occlusion in the right superficial temporal vein (STV). For treatment of the complicated ARBS, the patient received intravenous antibiotics and underwent surgery. The STV thrombophlebitis was treated with low-molecular-weight heparin. Postoperatively, the patient recovered completely and his vision normalized; 10 days later, duplex ultrasonography showed a patent STV. The development of contralateral STV thrombophlebitis is conceivably facilitated by venous anastomoses of the scalp in the front of the head. As a result, embolic spread would be a possible complication of infectious ABRS foci communicating with intraorbital and pericranial veins. To the best of our knowledge, this is the first reported case of such a complication of ARBS in the literature.

Item Type:	Journal Article (Further Contribution)
Division/Institute:	04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT)
UniBE Contributor:	Huth, Markus, Caversaccio, Marco
Subjects:	600 Technology > 610 Medicine & health
ISSN:	1942-7522
Publisher:	Vendome Group
Language:	English
Submitter:	Markus Huth
Date Deposited:	02 Mar 2016 14:12
Last Modified:	05 Dec 2022 14:52
PubMed ID:	26322458
URI:	https://boris.unibe.ch/id/eprint/76297