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Case Report
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| Septic cavernous sinus thrombosis secondary to a mycotic pseudoaneurysm of a cubital arteriovenous fistula | ||||||
| Ahmed Mohamed Elhassan Elfaki Osman1, Saif Eldin Mohammed Ali Ibrahim1 | ||||||
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1MBBS, Ibn Sina Specialized Hospital - Senior House-officer, Unit of Vascular and Endovascular Surgery, Ibn Sina Specialized Hospital, Khartoum, Sudan.
2MBBS, MD, MRCS (ENG); D.MAS; F.MAS; F. Vasc/Endovasc (MAL), Ibn Sina Specialized Hospital - Head, Unit of Vascular and Endovascular Surgery, Ibn Sina Specialized Hospital, Khartoum, Sudan. | ||||||
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| How to cite this article |
| Osman AMEE, Ibrahim SMA. Septic cavernous sinus thrombosis secondary to a mycotic pseudoaneurysm of a cubital arteriovenous fistula. Int J Case Rep Images 2015;6(2):103–107. |
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Abstract
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Introduction:
The cavernous sinuses are part of the dural sinuses. In 1831, Bright described cavernous sinus thrombosis (CST) as a complication of epidural and subdural infections. Cavernous sinus thrombosis usually results as a complication of paranasal sinus infection or infections of the face, in an area called the 'danger triangle', trauma, bacteremia or ear infections.
Case Report: A 35-year-old female presented with one month history of high grade fever and progressively increasing periorbital swelling. This presentation was preceded by failure and infection of her arteriovenous fistula (AVF) three weeks beforehand, which was resistant to medical therapy. On examination, she was febrile and had periorbital swelling with bilateral closure of the eyes. The left jugular vein was distended. At the site of the AVF, there was a pulsatile swelling which was also discharging pus. Following aneurysmectomy and AVF ligation, an angiogram of the head and neck showed a long segment occlusion on the left internal jugular vein extending to the left brachiocephalic vein plus a cavernous sinus thrombus. A diagnosis of a septic CST was made and management was conservative. We report this case because, to the best of our knowledge, no literature was found describing a mycotic AVF complicated by a jugular and brachiocephalic vein thrombosis causing a septic CST. Conclusion: In patients presenting with a mycotic AVF, the risk of developing a septic CST should be kept in mind. The goal of intervention should be to control the source of infection and prevent complications. | |
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Keywords:
Aneurysm, Cavernous sinus thrombosis (CST), Mycotic arteriovenous fistula, Septic cavernous sinus thrombosis
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Author Contributions
Ahmed Mohamed Elhassan Elfaki Osman – Acquisition of data, Drafting the article, Final approval of the version to be published Saif-Eldin Mohammed Ali Ibrahim – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Ahmed Mohamed Elhassan Elfaki Osman et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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About The Authors
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