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KMID : 1155520200150020205
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Anesthesia and Pain Medicine
2020 Volume.15 No. 2 p.205 ~ p.208
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Herpes zoster in the ophthalmic branch of the trigeminal ganglia obscuring cavernous sinus thrombosis due to Streptococcus constellatus subsp. constellatus - A case report -
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Lee Ji-Hye
Heo Hyun-Joo
Kim Ki-Man
Lee Han-Gyeol
Baek Seung-Min
Jung Da-Wa
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Abstract
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Background: 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.
Case: We report a case of septic cavernous sinus thrombosis (caused by Streptococcus constellatus subsp. constellatus) which was masked by the simultaneous occurrence of HZO in this patient, resulting in delayed diagnosis.
Conclusions: CST may be obscured by HZO, prompt diagnosis and treatment is necessary when such case arrive.
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KEYWORD
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Cavernous sinus thrombosis, Herpes zoster, Streptococcus constellatus, Trigeminal ganglion
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