Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Apr 30;15(2):205-208.
doi: 10.17085/apm.2020.15.2.205. Epub 2020 Apr 29.

Herpes zoster in the ophthalmic branch of the trigeminal ganglia obscuring cavernous sinus thrombosis due to Streptococcus constellatus subsp. constellatus - A case report

Ji Hye Lee  1 , Hyun Joo Heo  1 , Ki Man Kim  1 , Han Gyeol Lee  1 , Seung Min Baek  1 , Da Wa Jung  1
Affiliations

Herpes zoster in the ophthalmic branch of the trigeminal ganglia obscuring cavernous sinus thrombosis due to Streptococcus constellatus subsp. constellatus - A case report

Ji Hye Lee et al. Anesth Pain Med (Seoul). .

Abstract

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.

Keywords: Cavernous sinus thrombosis; Herpes zoster; Streptococcus constellatus; Trigeminal ganglion.

PubMed Disclaimer

Conflict of interest statement

CONFLICTS OF INTEREST No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1.
Fig. 1.
Both superior ophthalmic veins presenting with engorgement and thrombus in the posterior region (A: axial, B: coronal view).
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Ragozzino MW, Melton LJ, 3rd, Kurland LT, Chu CP, Perry HO. Population-based study of herpes zoster and its sequelae. Medicine (Baltimore) 1982;61:310–6. - PubMed
    1. Johnson JL, Amzat R, Martin N. Herpes zoster ophthalmicus. Prim Care. 2015;42:285–303. - PubMed
    1. Coutinho JM. Cerebral venous thrombosis. J Thromb Haemost. 2015;13 Suppl 1:S238–44. - PubMed
    1. Einhäupl K, Stam J, Bousser MG, De Bruijn SF, Ferro JM, Martinelli I, et al. European Federation of Neurological Societies EFNS guideline on the treatment of cerebral venous and sinus thrombosis in adult patients. Eur J Neurol. 2010;17:1229–35. - PubMed
    1. Lai PF, Cusimano MD. The spectrum of cavernous sinus and orbital venous thrombosis: a case and a review. Skull Base Surg. 1996;6:53–9. - PMC - PubMed

LinkOut - more resources