Abses Epidural sebagai Komplikasi Sinusitis Pada Anak: Laporan Kasus

William Gilbert Satyanegara* -  Universitas Tarumanagara, Indonesia
Dana Profit Sampurno -  , Indonesia
Yusuf Damar Jatinugroho -  , Indonesia
Guntur Surya -  , Indonesia
Arwinder Singh -  , Indonesia
Hendy Halim -  , Indonesia

ABSTRACT

 

Intracranial complications from sinusitis are rare and can be life-threatening. Children have a higher risk of developing complications and difficult to recognize their signs and symptoms. A 14-year-old child presented with complaints of severe pain in the right ear and fever. The patient had a history of trauma to the right nose 2 years ago, controlled asthma, and an allergy to humid air. Painkillers were given which did not improve, followed by advanced radiology. The results showed an epidural abscess accompanied by sinusitis on the right frontal. Craniotomy followed by antibiotic therapy was performed as well as an evaluation of the patient's symptoms. Epidural abscess is a rare intracranial complication, and its recognition is quite tricky, requiring supporting examination and good teamwork. Early recognition and adequate therapy can prevent morbidity and mortality.

 

Keywords: Epidrual Abscess, Intracranial, Rhinosinusitis

 

 

ABSTRAK

 

Komplikasi intrakranial dari sinusitis merupakan kejadian yang jarang dan dapat mengancam nyawa. Anak-anak memiliki risiko yang lebih tinggi mengalami komplikasi serta sulit dikenali tanda dan gejalanya. Seorang anak 14 tahun datang dengan keluhan nyeri hebat pada telinga kanan sejak dan demam. Pasien memiliki riwayat trauma pada hidung kanan 2 tahun lalu, asma terkontrol, dan alergi terhadap udara lembab. Pemberian anti-nyeri yang tidak membaik, diikuti dengan radiologi lanjut. Hasilnya menunjukan terdapat abses epidural diserai dengan sinusitis pada frontal kanan. Pembedahan, diikuti dengan terapi antibiotik dilakukan serta evaluasi gejala pasien. Abses epidural merupakan komplikasi intrakranial yang jarang terjadi, dan pengenalannya cukup sulit sehingga membutuhkan pemeriksaan penunjang dan kerjasama tim yang baik. Pemberian terapi yang tepat dan adekuat dapat mencegah kesakitan dan kematian.

 

Kata Kunci: Abses Epidural, Intrakranial, Rinosinusitis

Kata Kunci : abses epidural; intrakranial; rinosinusitis

  1. Bonfield, C. M., Sharma, J., & Dobson, S. (2015). Pediatric intracranial abscesses. Journal of Infection, 71, S42–S46. https://doi.org/10.1016/j.jinf.2015.04.012
  2. Brook, I. (2016). Microbiology of chronic rhinosinusitis. European Journal of Clinical Microbiology & Infectious Diseases, 35(7), 1059–1068. https://doi.org/10.1007/s10096-016-2640-x
  3. Carr, T. F. (2016). Complications of Sinusitis. American Journal of Rhinology & Allergy, 30(4), 241–245. https://doi.org/10.2500/ajra.2016.30.4322
  4. Chow, F. (2018). Brain and Spinal Epidural Abscess. CONTINUUM: Lifelong Learning in Neurology, 24(5), 1327–1348. https://doi.org/10.1212/CON.0000000000000649
  5. Garin, A., Thierry, B., Leboulanger, N., Blauwblomme, T., Grevent, D., Blanot, S., Garabedian, N., & Couloigner, V. (2015). Pediatric sinogenic epidural and subdural empyema: The role of endoscopic sinus surgery. International Journal of Pediatric Otorhinolaryngology, 79(10), 1752–1760. https://doi.org/10.1016/j.ijporl.2015.08.007
  6. Hallak, B., Bouayed, S., Ghika, J. A., Teiga, P. S., & Alvarez, V. (2022). Management Strategy of Intracranial Complications of Sinusitis: Our Experience and Review of the Literature. Allergy & Rhinology, 13, 215265752211250. https://doi.org/10.1177/21526575221125031
  7. Hong, P., Pereyra, C. A., Guo, U., Breslin, A., & Melville, L. (2017). Evaluating Complications of Chronic Sinusitis. Case Reports in Emergency Medicine, 2017, 1–3. https://doi.org/10.1155/2017/8743828
  8. Kınar, A., Cingi, C., & Busaba, N. (2021). Complications of Rhinosinusitis. Pediatric ENT Infections, 60(5), 465–475. https://doi.org/10.1007/978-3-030-80691-0_40
  9. Kou, Y.-F., Killeen, D., Whittemore, B., Farzal, Z., Booth, T., Swift, D., Berg, E., Mitchell, R., & Shah, G. (2018). Intracranial complications of acute sinusitis in children: The role of endoscopic sinus surgery. International Journal of Pediatric Otorhinolaryngology, 110, 147–151. https://doi.org/10.1016/j.ijporl.2018.05.015
  10. Laaidi, A., Makhchoune, M., Tahrir, Y., Haouas, M. Y., Naja, A., & Lakhdar, A. (2022). Simultaneous frontal and orbital abscess rare complications of otogenic origin: Case report and literature review. Annals of Medicine & Surgery, 75. https://doi.org/10.1016/j.amsu.2022.103458
  11. Lam, K., Schleimer, R., & Kern, R. C. (2015). The Etiology and Pathogenesis of Chronic Rhinosinusitis: a Review of Current Hypotheses. Current Allergy and Asthma Reports, 15(7), 41. https://doi.org/10.1007/s11882-015-0540-2
  12. Lam, S., Okechi, H., & Fridley, J. (2016). Epidural abscess. In International Neurology (pp. 237–238). John Wiley & Sons, Ltd. https://doi.org/10.1002/9781118777329.ch61
  13. Leung, A. K., Hon, K. L., & Chu, W. C. (2020). Acute bacterial sinusitis in children: an updated review. Drugs in Context, 9, 1–11. https://doi.org/10.7573/dic.2020-9-3
  14. Lin, S.-W., Wang, S.-K., Lu, M.-C., Wang, C.-L., & Koo, M. (2019). Acute rhinosinusitis among pediatric patients with allergic rhinitis: A nationwide, population-based cohort study. PLOS ONE, 14(2), e0211547. https://doi.org/10.1371/journal.pone.0211547
  15. Nicoli, T. K., & Mäkitie, A. (2014). Frontal Sinusitis Causing Epidural Abscess and Puffy Tumor. New England Journal of Medicine, 370(11), e18. https://doi.org/10.1056/NEJMicm1307740
  16. Oxford, L. E., & McClay, J. (2005). Complications of Acute Sinusitis in Children. Otolaryngology–Head and Neck Surgery, 133(1), 32–37. https://doi.org/10.1016/j.otohns.2005.03.020
  17. Patel, N. A., Garber, D., Hu, S., & Kamat, A. (2016). Systematic review and case report: Intracranial complications of pediatric sinusitis. International Journal of Pediatric Otorhinolaryngology, 86, 200–212. https://doi.org/10.1016/j.ijporl.2016.05.009
  18. Rudmik, L. (2017). Economics of Chronic Rhinosinusitis. Current Allergy and Asthma Reports, 17(4), 20. https://doi.org/10.1007/s11882-017-0690-5
  19. Sawada, S., & Matsubara, S. (2021). Microbiology of Acute Maxillary Sinusitis in Children. The Laryngoscope, 131(10). https://doi.org/10.1002/lary.29564
  20. Seto, T., Takesada, H., Matsushita, N., Ishibashi, K., Tsuyuguchi, N., Shimono, T., Hikita, N., Hattori, T., Tanaka, K., & Shintaku, H. (2014). Twelve-year-old girl with intracranial epidural abscess and sphenoiditis. Brain and Development, 36(4), 359–361. https://doi.org/10.1016/j.braindev.2013.06.001
  21. Shahid, S. K. (2012). Rhinosinusitis in Children. ISRN Otolaryngology, 2012, 1–11. https://doi.org/10.5402/2012/851831
  22. Szyfter, W., Bartochowska, A., Borucki, Ł., Maciejewski, A., & Kruk-Zagajewska, A. (2018). Simultaneous treatment of intracranial complications of paranasal sinusitis. European Archives of Oto-Rhino-Laryngology, 275(5), 1165–1173. https://doi.org/10.1007/s00405-018-4932-5
  23. Uyttebroek, S., Poelmans, M., Casteels, I., De Vleeschouwer, S., Vermeulen, F., Jorissen, M., & Van Gerven, L. (2020). How to approach complications of acute rhinosinusitis in children? International Journal of Pediatric Otorhinolaryngology, 136, 110155. https://doi.org/10.1016/j.ijporl.2020.110155
  24. Yong, A., Gomati, A., Khor, K., KheiHu, M., & Kanodia, A. K. (2020). Complications of Acute Sinusitis: A Review and Case Series. Open Access Journal of Neurology & Neurosurgery, 14(3). https://doi.org/10.19080/OAJNN.2020.14.555888
  25. Ziegler, A., Patadia, M., & Stankiewicz, J. (2018). Neurological Complications of Acute and Chronic Sinusitis. Current Neurology and Neuroscience Reports, 18(2), 5.https://doi.org/10.1007/s11910-018-0816-8