Lee Ji Hye, Heo Hyun Joo, Kim Ki Man, Lee Han Gyeol, Baek Seung Min, Jung Da Wa
Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, Korea.
Anesth Pain Med (Seoul). 2020 Apr 30;15(2):205-208. doi: 10.17085/apm.2020.15.2.205. Epub 2020 Apr 29.
Herpes zoster ophthalmicus (HZO) is an infectious disease that results from the reactivation of latent varicella zoster virus in the ophthalmic branch of the trigeminal ganglia. HZO manifests with herpes zoster-like symptoms such as rash with or without signs of ocular involvement. Cavernous sinus thrombosis (CST) is a life-threatening condition accompanied by signs and symptoms involving the eyes and the cranial nerves.
We report a case of septic cavernous sinus thrombosis (caused by subsp. ) which was masked by the simultaneous occurrence of HZO in this patient, resulting in delayed diagnosis.
CST may be obscured by HZO, prompt diagnosis and treatment is necessary when such case arrive.
眼部带状疱疹(HZO)是一种由潜伏在三叉神经节眼支中的水痘-带状疱疹病毒重新激活引起的传染病。HZO表现为带状疱疹样症状,如伴有或不伴有眼部受累体征的皮疹。海绵窦血栓形成(CST)是一种危及生命的疾病,伴有涉及眼睛和颅神经的体征和症状。
我们报告一例由亚种引起的化脓性海绵窦血栓形成病例,该病例被该患者同时发生的HZO所掩盖,导致诊断延迟。
CST可能被HZO掩盖,此类病例就诊时需及时诊断和治疗。