Cavernous sinus thrombosis in the ITU

Abstract

Cavernous Sinus Thrombosis (CST) is a serious condition with a high mortality. The use of antibiotics in this condition has dramatically decreased mortality in the last 50 years. Our patient was a young woman with a history of chronic intravenous drug abuse. She presented with acute fulminant septic CST. Initial blood cultures isolated a methicillin resistant S. aureus (MRSA), which was community-acquired. This is the first case of community-acquired MRSA causing Cavernous Sinus Thrombosis. We review the literature on the condition and its presentation and discuss the implications MRSA may have on the management of the cavernous sinus thrombosis.