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2020, vol. 37, br. 2, str. 201-206
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Septični tromboflebitis sigmoidnog sinusa usled hroničnog mastoiditisa i upale srednjeg uva - prikaz slučaja
Sigmoid sinus septic thrombophlebitis due to chronic mastoiditis and otitis media: A case report
aUniverzitet medicinski nauka u Babolu, Zdravstveni istraživački institut, Istraživački centar za infektivne i tropske bolesti, Babol, Islamska Republika Iran bUniverzitet medicinskih nauka u Kermanshahu, Bolnica Imam Reza, Klinički istraživački centar za razvoj, Kermanshah, Islamska Republika Iran
e-adresa: drbabazadeh.a@yahoo.com
Sažetak
Septični tromboflebitis sigmoidnog sinusa je retka pojava koja može da dovede do značajnih morbiditeta i mortaliteta. U radu je dat prikaz slučaja sa septičnom trombozom sigmoidnog sinusa izazvanom hroničnim mastoiditisom i upalom srednjeg uva. Prikazan je slučaj dvadesetdevetogodišnjeg muškarca koji je u anamnezi opisao prethodno dvonedeljno trajanje zujanja u ušima i vrtoglavice, pri čemu se otok na desnoj strani vrata postepeno uvećavao. Kompjuterizovana tomografija vrata pokazala je postojanje mastoidnog apcesa. Takođe, magnetna rezonanca ukazala je na uvećanje vena sigmoidnog sinusa, što je karakteristično za septični tromboflebitis. Zdravstveno stanje bolesnika kao i simptomi i znaci poboljšali su se nakon primene antibiotske terapije, dok se veličina mastoidne mase postepeno smanjila. U slučaju septične tromboze sigmoidnog sinusa, pravovremena dijagnostika i brzo lečenje, pomoću intravenskih antibiotika širokog spektra, ključni su za oporavak u ovakvim slučajevima.
Abstract
Sigmoid sinus septic thrombosis is an infrequent complaint that may lead to extensive morbidity and mortality. We report a case with septic thrombosis of the sigmoid sinus caused by chronic mastoiditis and otitis media. A 29-year-old male presented with a 14-day history of tinnitus and true vertigo with a gradually developing swelling on the right side of the neck. Neck computerized tomography (CT) scan found a mastoid abscess. Also, magnetic resonance imaging (MRI) showed an enlargement of the sigmoid sinus veins that was characteristic of septic thrombophlebitis (SSST). The patient's condition and his symptoms and signs improved under antibiotic therapy and his mastoid mass size decreased gradually. In sigmoid sinus septic thrombosis, timely diagnosis and quick management, using broad-spectrum intravenous antibiotics, are critical for case recovery.
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