Cavernous sinus thrombosis in a 5 year old female : a case report / Easter Joyce O. Marilim.

Includes appendices and bibliographical references.

Abstract: Infections of the face, especially of the medial third or "the danger triangle", are the most frequent primary foci associated with thrombosis of cavernous sinus. Microorganisms entering the facial vein and pterygoid plexus from these sites are easily carried to the sinus through the opthalmic vein, When the septic thrombosis involves various structures in the sinus, multiple clinical manifestations develop and if appropriate anti-infective therapy is not instituted timely, grave consequences with high mortality is possible.(2) A case of a 5 year old female presented with erythematous lesion on the right side of the forehead with associated undocumented low grade fever and worsened few days after. She had suffered from erythematous swelling spreading over the periobital area which was treated with oral antibiotics and ointment. However, the patient became irritable and toxic. On admission, cranial CT Scan with contrast revealed Cavernous Sinus Thrombosis, Right Preseptal Cellulitis. The cultures of blood and eye discharge were positive for Methicillin Staphylococcus aureas. On appropriate antibiotic therapy, she improved but she had complications from disseminated staphylococcal infection. This case report aims to review the dangers of minor infections on the face.

Research - Department of Child Health