Muñoz-Álvarez NA, Terán-Jaramillo AP

Language: Spanish
References: 20
Page: 27-31
PDF size: 1372.09 Kb.

ABSTRACT

Introduction: pansinusitis can lead to orbital and intracranial complications, which are infrequent but can be serious. Case presentation: a previously healthy 13-year-old male adolescent presented with persistent frontal headache and three days of fever, followed by left eyelid edema and erythema. Imaging studies revealed preseptal cellulitis secondary to pansinusitis. On the fifth day of hospitalization, despite initial antibiotic treatment, he experienced a focal motor seizure and altered mental status. Magnetic resonance imaging identified left frontal cerebritis, and broad-spectrum antimicrobial and anticonvulsant therapy was initiated. Endoscopic sinus surgery was also performed. He completed four weeks of antibiotic therapy with good clinical progress and no neurological sequelae. Conclusions: this case highlights the importance of timely detection of sinusitis complications and the need for a multidisciplinary approach to improve the prognosis for these patients.

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