Carotid artery stenoses and thrombosis secondary to cavernous sinus thromboses in Fusobacterium necrophorum meningitis

We report the case of a young man with Fusobacterium necrophorum meningitis who developed bilateral carotid artery stenosis associated with thrombosis of the cavernous sinuses. Intraluminal clot was present in the region of the stenoses for which he was anticoagulated. The clinical presentation, pro...

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Bibliographic Details
Published in:Postgraduate medical journal 1990-09, Vol.66 (779), p.747-750
Main Authors: Jones, T. H., Bergvall, V., Bradshaw, J. P.
Format: Article
Language:English
Subjects:
Adult
Arterial Occlusive Diseases - etiology
Carotid Artery Diseases - etiology
Carotid Artery Thrombosis - etiology
Cavernous Sinus
Fusobacterium Infections - complications
Fusobacterium Infections - drug therapy
Fusobacterium necrophorum
Humans
Male
Meningitis - complications
Metronidazole - therapeutic use
Sinus Thrombosis, Intracranial - etiology
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Summary:We report the case of a young man with Fusobacterium necrophorum meningitis who developed bilateral carotid artery stenosis associated with thrombosis of the cavernous sinuses. Intraluminal clot was present in the region of the stenoses for which he was anticoagulated. The clinical presentation, problems with diagnosis, the use of anticoagulation and the need for prolonged treatment with metronidazole are discussed.
ISSN:0032-5473
1469-0756
DOI:10.1136/pgmj.66.779.747