Sinusitis complicated by intracranial abscess in 3 patients with coronavirus disease 2019: illustrative cases.
COVID-19
empyema
intracranial abscess
Journal
Journal of neurosurgery. Case lessons
ISSN: 2694-1902
Titre abrégé: J Neurosurg Case Lessons
Pays: United States
ID NLM: 9918227275606676
Informations de publication
Date de publication:
06 Feb 2023
06 Feb 2023
Historique:
received:
30
09
2022
accepted:
30
11
2022
entrez:
7
2
2023
pubmed:
8
2
2023
medline:
8
2
2023
Statut:
epublish
Résumé
The novel coronavirus disease 2019 (COVID-19) can be associated with various neurological manifestations, including cerebrovascular disease, seizures, peripheral nerve disease, and encephalitis. Intracranial abscess related to COVID-19 is rare but illustrates a serious complication in the studied cases. The authors report 3 cases of patients presenting with COVID-19 complicated by sinusitis with associated intracranial abscesses. Each patient underwent craniotomy with washout and sinus debridement during their hospital stay. All 3 patients improved to their baseline following treatment. Similar outcomes have been observed in other cases of intracranial abscess associated with COVID-19 infections. Patients achieved significant improvement following evacuation of the abscess and intravenous antibiotics. Further investigation is needed to determine treatment in relation to COVID-19, and the authors recommend following the standard treatment of intracranial abscess at this time.
Sections du résumé
BACKGROUND
BACKGROUND
The novel coronavirus disease 2019 (COVID-19) can be associated with various neurological manifestations, including cerebrovascular disease, seizures, peripheral nerve disease, and encephalitis. Intracranial abscess related to COVID-19 is rare but illustrates a serious complication in the studied cases.
OBSERVATIONS
METHODS
The authors report 3 cases of patients presenting with COVID-19 complicated by sinusitis with associated intracranial abscesses. Each patient underwent craniotomy with washout and sinus debridement during their hospital stay. All 3 patients improved to their baseline following treatment. Similar outcomes have been observed in other cases of intracranial abscess associated with COVID-19 infections.
LESSONS
CONCLUSIONS
Patients achieved significant improvement following evacuation of the abscess and intravenous antibiotics. Further investigation is needed to determine treatment in relation to COVID-19, and the authors recommend following the standard treatment of intracranial abscess at this time.
Identifiants
pubmed: 36748752
doi: 10.3171/CASE22423
pii: CASE22423
pmc: PMC10550557
doi:
pii:
Types de publication
Journal Article
Langues
eng
Références
Orbit. 2020 Aug;39(4):305-310
pubmed: 32419568
Curr Treat Options Neurol. 2003 Jan;5(1):13-22
pubmed: 12521560
Childs Nerv Syst. 2009 Feb;25(2):199-205
pubmed: 18575871
J Neurosurg Pediatr. 2014 Nov;14 Suppl 1:60-71
pubmed: 25988784
Neurosurgery. 1988 Oct;23(4):451-8
pubmed: 3200375
Clin Infect Dis. 2022 Aug 24;75(1):e715-e725
pubmed: 34922338
Dtsch Med Wochenschr. 2020 May;145(10):670-674
pubmed: 32344440
Radiol Case Rep. 2021 Oct 02;16(12):3659-3661
pubmed: 34630795
J Neurosci Rural Pract. 2013 Aug;4(Suppl 1):S67-81
pubmed: 24174804
J Neurol Neurosurg Psychiatry. 1990 Jun;53(6):472-5
pubmed: 1974282
Am J Med. 2021 Oct;134(10):1210-1217.e2
pubmed: 34297973
Cleve Clin J Med. 2020 Nov 23;87(12):729-734
pubmed: 32847818
J Infect. 2015 Jun;71 Suppl 1:S42-6
pubmed: 25917804
Clin Infect Dis. 1995 Feb;20(2):372-86
pubmed: 7742444
Lancet Infect Dis. 2022 Jan;22(1):35-42
pubmed: 34461056
J Alzheimers Dis. 2020;76(1):3-19
pubmed: 32538857
J Neurosurg Case Lessons. 2022 May 23;3(21):CASE22127
pubmed: 35734230
Am J Case Rep. 2021 Oct 27;22:e933177
pubmed: 34702794
Pediatr Infect Dis J. 2000 Aug;19(8):735-7
pubmed: 10959742