Chen Ming-Chun, Ho Yu-Huai, Chong Pau-Nyen, Chen Jui-Hsia
Department of Pediatrics, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
Department of Infectious Disease, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
Tzu Chi Med J. 2019 Jan-Mar;31(1):63-65. doi: 10.4103/tcmj.tcmj_1_18.
Isolated sphenoid sinusitis is a rare disorder and may present with severe complications due to its proximity to the orbital and intracranial areas. We report a 13-year-old boy hospitalized for septic shock with fever of unknown origin. Facial palsy was later noted. Brain magnetic resonance imaging showed a sphenoid mass and right cavernous sinus and internal jugular vein thrombosis. Biopsy revealed chronic rhinosinusitis. Complete recovery followed by an incision/drainage procedure and antibiotic treatment. Acute sphenoid sinusitis should be included in the differential diagnosis of septic manifestations mimicking central nervous system infection or cranial nerve palsy.
孤立性蝶窦炎是一种罕见的疾病，由于其靠近眼眶和颅内区域，可能会出现严重并发症。我们报告一名13岁男孩因不明原因发热导致感染性休克住院。后来发现有面瘫。脑部磁共振成像显示蝶窦有肿物，右侧海绵窦和颈内静脉血栓形成。活检显示为慢性鼻窦炎。经切开引流手术和抗生素治疗后完全康复。急性蝶窦炎应纳入对模拟中枢神经系统感染或颅神经麻痹的感染表现的鉴别诊断中。
