Preseptal cellulitis and cerebral venous sinus thrombosis complication in a patient with diabetes mellitus

  • Sylves Patrick Surgical Based Department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah
  • Huwaina Abdul Satar Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, Malaysia
  • Wan Hazabbah Wan Hitam Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, Malaysia
Keywords: cellulitis, diabetes mellitus, intracranial thrombosis, venous thrombosis

Abstract

This was a rare case of preseptal cellulitis with an unexpected complication by cerebral venous sinus thrombosis. A 73-year-old woman with poorly controlled diabetes mellitus presented with a week history of swelling and redness on the left upper eyelid and right forehead, associated with poor oral intake, lethargy, and fever. She was generally lethargic with poor verbal response. She had cellulitis of the left upper eyelid and right forehead with the left upper eyelid necrosis. Computed tomography venography of the brain revealed thrombosis of the right transverse sinus, right sigmoid sinus, and right internal jugular vein. She later developed left upper eyelid and right forehead abscesses. Incision, drainage, and wound debridement were performed. She was treated with intravenous antibiotics and anticoagulant. After 1 week of treatment, the preseptal and forehead cellulitis had resolved. However, she passed away due to aspiration pneumonia with respiratory failure on day-13 of hospitalization.

Author Biographies

Huwaina Abdul Satar, Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, Malaysia

Ophthalmologist, Department of Ophthalmology

Wan Hazabbah Wan Hitam, Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, Malaysia

Lecturer and Consultant Neuroophthalmologist, Department of Ophthalmology

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Published
2022-04-22
How to Cite
1.
Patrick S, Satar HA, Wan Hitam WH. Preseptal cellulitis and cerebral venous sinus thrombosis complication in a patient with diabetes mellitus. Med J Indones [Internet]. 2022Apr.22 [cited 2024Feb.27];31(1):75-9. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/5568
Section
Case Report/Series