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SM ISO690:2012 FORTUNA, Valeriu, ABABII, Polina, GAVRILUŢA, Vasile, NACU, Viorel, DIDENCU, Alexandru, SMETANCA, Vladimir. Complications of the suppuratives rhinosinusitis in children. Clinical case. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 356. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 356-356 | ||||||
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Introduction. Complications of rhinosinusitis at children are often serious. Due to the proximity of the paranasal sinuses to the brain and orbital structures the increased risk of morbidity, disability, sometimes even mortality is unavoidable. The purpose of the study. To present a clinical case of orbital and cerebral abscess, as a complication of acute suppurative rhinosinusitis at children. Materials and methods. The data was taken from the medical files. The patient was investigated by laboratory tests, electrocardiography, lung radiography, computed tomography (CT) of the brain, nuclear magnetic resonance (MRI) of the brain. The child was consulted and treated in a multidisciplinary ways. Results. Patient A.L., 11 years old, hospitalized in the MSPI Mother and Child Institute, on 13.12.2021 with headache, periorbital hyperemia, exophthalmos, aphasia and temporal-spatial disorientation. The patient was consulted by a multidisciplinary team. Minimal epidural empyema on the left, orbital cellulitis and hemisinusitis on the left were found on the brain CT. Transferred to the Em. Coțaga ENT Clinic, the left frontal sinus was drilled, the left maxillary sinus was punctured and drained, and the periorbital abscess was drained. The disease evolution remained without positive dynamics. Brain MRI showed an epidural abscess that required neurosurgical treatment. After 28 days of hospitalization, in a satisfactory condition, the child was discharged at home. Conclusions. To avoid possible complications in rhinosinusitis, the necessary investigations, diagnosis, and treatment must be initiated in time, because this pathology can make such complications as: brain abscess, orbital cellulitis, meningitis, etc. |
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Cuvinte-cheie child, rhinosinusitis, complications, copil, rinosinuzită, complicaţii |
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