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Septic venous thrombosis as an unexpected complication of acute suppurative otitis media: a case report


MOJ Clinical & Medical Case Reports
Ivan Cadena Vélez, Manuela Grego, Luis Siopa

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Abstract

Cerebral venous thrombosis is a rare condition that primarily affects women. It has been described in association with local factors (meningitis, sinusitis, cellulite and tumors) and systemic factors such as thrombophilia and other blood disorders. The most common site is the lateral sinus, followed by the sagittal sinus. In 30-40% of cases it affects more than a venous sinus. The most common clinical manifestation is headache. We present the case of a 65-year-old male patient with a history of ethanolism and smoking, admitted to the Emergency Department for a four-day follow-up, fever, dyspnea and temporary disorientation that worsened in the last 24 hours with an altered state of consciousness. Evidenced by diagnostic computed tomography (CT) a ventriculitis and a defect in the filling of the transverse sinus and left sigmoid in apparent relationship with thrombosis; and opacification of the middle ear by inflammatory process/otitis media. Thrombosis of cerebral venous sines (CVT) is considered difficult to diagnose due to the wide variety of signs and symptoms that can simulate a large number of other entities, it is important to have this diagnosis always present, and it is essential that after the diagnostic suspicion we can carry out a timely study through non-invasive imaging studies, in order to initiate medical and surgical treatment according to the case and to identify, avoid or minimize the secondary complications or morbidity that it generates.

Keywords

cerebral venous thrombosis, acute suppurative otitis media, bacterial meningoencephalitis, otitis media, neurosurgery, moderate ethanolism, inflammatory process

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