Anaerobic bacterial infections in chronic sinusitis are well described in literature. We present what is believed to be the first reported case of Clostridium perfringens presenting as the causative pathogen in paranasal sinusitis. This patient presented with severe headaches and, with CT and MRI findings of unilateral sphenoid sinus opacification, with bone demineralization and intrasinus calcification. This patient responded to endoscopic debridement and long-term antibiotics without sequelae.
Get full access to this article
View all access options for this article.
References
1.
RosenblumBNFriedmanWH. Paranasal sinus etiology of headache and facial pain In: JacobsonDonlon, editors. Headache and facial pain.New York: Raven Press LTD; 1990. p. 233–44
2.
JonasJohnson T. Infections. CummingsCWFredricksonJM, editors. Second editionOtolaryngology-head and neck surgery.St Louis: Mosby Year Book, Inc; 1993. p. 929–40
3.
StevensDL. Clostridial myonecrosis and other Clostridial diseases In: BennettJCPlumF, editors. Cecil textbook of medicine.20th ed.Philadelphia: WB Saunders Co; 1996. p. 2090–3
4.
BrokampKGreeneJN. Clostridial bacteremia in a cancer hospital: a 6.5-year experienceInfect Med1995;12:11
5.
CoronadoOMastroianniAChiodoF. Anaerobic bacterial infections in HIV disease and AIDSThe AIDS Reader1996;6:4:122–4
