안와연조직염 환자에서 생긴 전두골경막외 농양 1예

Abstract

목적: 급성 부비동염의 환아에서 합병증으로 안와연조직염과 전두골경막외 농양이 동시에 발생한 임상양상을 경험하였기에 문헌 고찰과 함께 보고하고자 한다. 증례요약: 안와주위 부종과 열, 두통을 주소로 내원한 11세 남자 환자가 급성 부비동염 진단받고 이비인후과적 내시경 배농술을 시행하였으나 안와연조직염의 호전 없었고, 뇌 컴퓨터단층촬영상 경막하 농양이 발견되어, 안와 내 농양의 외배액술 및 전신적 항생제, 항경련제로 치료하였다. 결론: 외배액술 및 항생제, 항경련제 치료 후 20일째 시행한 뇌 컴퓨터단층촬영상 경막하 농양이 소실되었으며, 안와연조직염 임상양상이 호전되어 퇴원하였다.

Purpose: To report a case of simultaneous orbital cellulitis and intracranial complications of acute sinusitis in a young patient. Case summary: The 11-year-old male presented with a one-day history of left periorbital erythematous swelling, fever and headache. He was diagnosed with acute sinusitis at the department of otorhinolaryngology, and endoscopic sinus drainage of pus was performed. However, the patient’s symptoms did not improve. The next day, a subdural abscess was found on brain computed tomography. He was treated by external drainage of the periosteal abscess via a subbrow incision and systemic antibiotics, as well as anticonvulsant medication. Conclusions: Twenty days after external drainage and beginning systemic antibiotics and anticonvulsant treatment, he was discharged with improved orbital cellulitis symptoms and a resolved subdural abscess.