Highlights
- •Streptococcus Intermedius is a rare cause of acute bacterial sinusitis with greater morbidity due to its pyogenicity.
- •Acute bacterial sinusitis can lead to severe intracranial and head and neck complications when there is venous extension.
- •Central nidus and the causal organism both contribute to the severity of acute bacterial sinusitis and its complications.
Abstract
Acute bacterial sinusitis may be complicated by orbital and intracranial involvement
and by thrombophlebitis. Its spread across multiple anatomic compartments is facilitated
by the interconnected venous anatomy of the head and neck and the virulence of the
primary pathogen. We present a rare case of Streptococcus Intermedius (S. Intermedius) acute bacterial sinusitis complicated by extensive skull base involvement including
cavernous sinuses and neck vein thrombophlebitis and thrombosis.
Keywords
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Article info
Publication history
Published online: September 23, 2021
Accepted:
September 13,
2021
Received in revised form:
August 24,
2021
Received:
June 21,
2021
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
