Nosocomial cavernous sinus thrombophlebitis due to multidrug-resistant Staphylococcus aureus. A pediatric case report

Cavernous sinus thrombophlebitis is a serious disease. We report herein a case seen in a 9-year-old boy hospitalized for an acute pneumopathy. Clinical signs were made of a diffuse edema of the upper two-thirds of the face, eyelid edema, chemosis, exophthalmia, meningeal syndrome, and infections syn...

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Bibliographic Details
Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2011-05, Vol.18 (5), p.529-532
Main Authors: Hunald, F-A, Riel, A-M, Ramorasata, A-J-C, Tovone, X-G, Andriamanarivo, M-L, Rakoto-Ratsimba, H-N
Format: Article
Language:fre
Subjects:
Cavernous Sinus Thrombosis - microbiology
Child
Cross Infection - microbiology
Humans
Male
Methicillin-Resistant Staphylococcus aureus
Staphylococcal Infections
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Summary:Cavernous sinus thrombophlebitis is a serious disease. We report herein a case seen in a 9-year-old boy hospitalized for an acute pneumopathy. Clinical signs were made of a diffuse edema of the upper two-thirds of the face, eyelid edema, chemosis, exophthalmia, meningeal syndrome, and infections syndromes associated with alteration of consciousness. A CT scan revealed a heterogenous enhancement and enlargement of the left cavernous sinus and homogenous opacity of the sphenoidal sinuses. Therapeutic management was complicated due to allergy to β-lactams and the multidrug resistance of Staphylococcus aureus.
ISSN:1769-664X
DOI:10.1016/j.arcped.2011.02.003