Medical Journal of Indonesia Vol. 31 No. 1 2022 FKUI
Case Report/Series Preseptal Cellulitis and Cerebral Venous Sinus Thrombosis Complication in A Patient with Diabetes Mellitus

Medical Journal of Indonesia Vol. 31 No. 1 2022 FKUI
Case Report/Series Preseptal Cellulitis and Cerebral Venous Sinus Thrombosis Complication in A Patient with Diabetes Mellitus

cellulitis, diabetes mellitus, intracranial thrombosis, venous thrombosis

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.

Sylves Patrick, Huwaina Abdul Satar, Wan Hazabbah Wan Hitam

https://doi.org/10.13181/mji.cr.225568

February 22, 2022

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