Extensive Invasive Sinusitis Secondary to Streptococcus Intermedius Infection

Area of Science:

• Neurology
• Infectious Diseases
• Otolaryngology

Background:

• Invasive sinusitis is a rare but serious complication of sinusitis.
• Streptococcus intermedius is an uncommon pathogen in acute bacterial sinusitis, often linked to severe infections and intracranial complications.

Observation:

• A 72-year-old woman presented with acute encephalopathy and sepsis.
• Imaging revealed extensive invasive sinusitis with intracranial extension.

Findings:

• The patient was diagnosed with invasive sinusitis caused by Streptococcus intermedius.
• She was successfully treated with intravenous antibiotics alone, without surgical intervention.

Implications:

• This case suggests that medical management alone may be a viable option for invasive sinusitis, particularly when surgery is contraindicated.
• Further investigation into factors enabling successful medical management alone is warranted to improve patient outcomes and reduce morbidity/mortality associated with this condition.