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Marquel Brumley, 13, died of a sinus infection in Michigan, United States, in March 2018. He was misdiagnosed by the medical staff who treated him.
It all started with what looked like a cold, a cough and a coryza. When looking for the doctor, medications were prescribed to fight the viral infection. There was no hint of sinusitis. However, the boy began to have severe headaches, which did not stop with the use of painkillers.
His mother, Cameo, decided to take her to another hospital. There, the doctors said that it was a migraine and that it was normal during the puberty phase. "I took my son there for help," Cameo said. "I thought it was what they thought, I believed them," he told the Daily Mail.
The pain is however aggravated and other warning signs have come to light. His left eye began to swell and the left side of his body lost muscle movement. "When I went back to the emergency with my son, the doctors finally decided to do an MRI," he says.
The test indicated that Marquel had progressive sinusitis that crosses the bones and blood vessels of the brain, creating clots that restrict blood flow and increase pressure on the brain.
Immediately, the boy was operated on to remove fluid from the brain. At the end of the process, Marquel did not wake up. The doctors estimated that the boy's cerebral pressure had exceeded normal levels. "I thought my son would be fine, but after that he never woke up again," laments Cameo. Marquel died of brain death.
Signs of warning
The case of Marquel serves as an alert. You need to understand when a flu or cold can progress to a more serious condition. Otorhinolaryngologist Milena Costa explains that any cold can lead to complications, especially in patients with poor immunity.
"In this case, any flu, any sinusitis can lead to complications, the goal is to be attentive to the warning signs," she says. She says that in the case of Marquel, the signs indicating that the diagnosis was wrong were the swollen eyes of the child and his intense headache that did not stop with the use of painkillers . "But the main problem was the delay of the correct diagnosis."
The specialist emphasizes that it is important to know how to differentiate the symptoms of a simple cold from a more serious sinusitis. It lists the main warning signs:
- Puffy eyes, red and possibly leaking;
- Very serious headache, without improvement with the use of analgesic;
- High fever;
- vomiting;
- Change in state of consciousness (fainting and drowsiness, for example).
In addition, it is also important to differentiate the headache resulting from a characteristic migraine sinus. The first is recurrent pulsatile pain – which stops after medication use – associated with photophobia (light sensitivity), phonophobia (sound sensitivity) and vomiting. The second is felt more in the center of the head and usually takes up to five days to completely stop.
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