Septic cavernous sinus thrombosis following ethmoiditis: a case report

• Published in: Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2014-01, Vol.21 (1), p.66-69
• Main Authors: Ben Abdallah Chabchoub, R, Kmiha, S, Turki, F, Trabelsi, L, Maalej, B, Ben Salah, M, Abdelhédi Gargouri, L, Boukédi, A, Ben Halima, N, Mahfoudh, A
• Format: Article
• Language: fre
• Subjects: Acute Disease; Cavernous Sinus - pathology; Cavernous Sinus Thrombosis - diagnosis; Cavernous Sinus Thrombosis - drug therapy; Cavernous Sinus Thrombosis - etiology; Combined Modality Therapy; Drug Therapy, Combination; Early Diagnosis; Ethmoid Sinus - pathology; Ethmoid Sinusitis - complications; Ethmoid Sinusitis - diagnosis; Ethmoid Sinusitis - drug therapy; Facial Paralysis - diagnosis; Facial Paralysis - etiology; Hemiplegia - diagnosis; Hemiplegia - etiology; Humans; Magnetic Resonance Imaging; Methicillin-Resistant Staphylococcus aureus; Physical Therapy Modalities; Rifampin - therapeutic use; Staphylococcal Infections - complications; Staphylococcal Infections - diagnosis; Staphylococcal Infections - drug therapy; Tomography, X-Ray Computed; Vancomycin - therapeutic use
• ISSN: 1769-664X
• DOI: 10.1016/j.arcped.2013.10.012

Acute ethmoiditis is a rare infection of ethmoidal cells. The pathognomonic sign is an edema of the internal corner of the eye. Imaging may be necessary to verify the absence of orbital or endocranial complications. Thrombophlebitis of the cavernous sinus is a serious complication of this infectious process. We report the case of an 11-year-old boy who presented with ethmoiditis complicated with thrombophlebitis of the cavernous sinus, with right hemiplegia and left Bell palsy sequelae. Early diagnosis of this disorder and urgent therapy are essential. Treatment is based on the antibiotic therapy.