[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 9, Issue 2 (1-2018) ::
Caspian J Intern Med 2018, 9(2): 194-197 Back to browse issues page
Botulism and cavernous sinus thrombosis induced by Acute rhinosinusitis: A case report
Ali Tavassoli, Mahmood Sadeghi, Parviz Amrimaleh
Cancer Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran , pamrimaleh@gmail.com
Abstract:   (1546 Views)

Background: Botulism is an acute and rapidly progressive descending paralytic disease caused by a neurotoxin of clostridium botulinum.
Case presentation: A 28-year-old woman presented with severe generalized ascending symmetrical muscle paralysis. The patient was intubated and transferred to the medical intensive care unit with several symptoms including: severe headache, dysphagia, dyspnea, ptosis, diplopia, and dry mouth. Despite being alert, pupils were bilaterally midriatic and had absent corneal reflux. Pansinusitis was seen in the paranasal sinus scan. At first, the movement of eyelids, head and neck were restored. The movement of the upper limbs (15th day) and chest wall (20th day), abdomen (25th day) and the lower extremities (32nd day) were then gradually restored. On 41st day, the patient was completely disconnected from the ventilator.
Conclusions: Botulism should be a diagnosis in any patient with an acute progressive symmetrical descending paralysis. Sinus mucosal injury (acute sinusitis) can be inoculated with spores of botulinum

Keywords: Acute sinusitis, Botulism, Paralysis
Full-Text [PDF 307 kb]   (306 Downloads)    
Type of Study: case report | Subject: Infectious Diseases
Received: 2017/04/15 | Accepted: 2017/07/3 | Published: 2018/03/10
Send email to the article author

Add your comments about this article
Your username or Email:


XML     Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Tavassoli A, Sadeghi M, Amrimaleh P. Botulism and cavernous sinus thrombosis induced by Acute rhinosinusitis: A case report. Caspian J Intern Med. 2018; 9 (2) :194-197
URL: http://caspjim.com/article-1-1023-en.html

Volume 9, Issue 2 (1-2018) Back to browse issues page
Caspian Journal of Internal Medicine
Persian site map - English site map - Created in 0.05 seconds with 32 queries by YEKTAWEB 3877