关键词: Diabetes case report exophthalmos infection magnetic resonance imaging

Mesh : Humans Female Middle Aged Venous Thrombosis / diagnosis drug therapy Magnetic Resonance Imaging Diabetic Ketoacidosis / complications diagnosis Anti-Bacterial Agents / administration & dosage Thrombolytic Therapy / methods Orbit / blood supply diagnostic imaging

来  源:   DOI:10.11604/pamj.2024.47.119.42983   PDF(Pubmed)

Abstract:
Superior ophthalmic vein thrombosis (SOVT) is a rare orbital pathology. It can cause serious complications if it isn´t diagnosed appropriately. It can be secondary to many etiologies, septic or aseptic ones. Diabetic ketoacidosis (DKA) may disturb the vascular endothelium and promote a prothrombotic state. The presence of which is related to a significantly increased risk of morbidity and mortality. We report the case of a 45-year-old woman who presented a SOVT revealing DKA. Orbit magnetic resonance imaging (MRI) showed thrombosis of the right superior ophthalmic vein. A treatment based on thrombolytic treatment, associated with antibiotic coverage and a glycemic balance was initiated. This case highlights the importance of considering both infection and diabetes as an important part of the diagnosis and management of SOVT.
摘要:
眼静脉血栓形成(SOVT)是一种罕见的眼眶病理。如果没有适当的诊断,可能会导致严重的并发症。它可以是继发于许多病因,败血症或无菌的。糖尿病酮症酸中毒(DKA)可能会干扰血管内皮并促进血栓前状态。其存在与发病率和死亡率的风险显著增加有关。我们报告了一名45岁妇女的病例,该妇女提出了SOVT显示DKA。眼眶磁共振成像(MRI)显示右眼上静脉血栓形成。一种基于溶栓治疗的治疗方法,与抗生素覆盖和血糖平衡相关的研究开始.该病例强调了将感染和糖尿病作为SOVT诊断和管理的重要组成部分的重要性。
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