Septic cavernous sinus thrombosis associated with Streptococcus pneumoniae meningitis
DOI:
https://doi.org/10.32818/reccmi.a11n2a2Keywords:
cavernous sinus thrombosis, streptococcus pneumoniae, bacterial meningitis, cerebral venous thrombosis, cavernous sinus syndromeAbstract
Septic cavernous sinus thrombosis (SCST) is an uncommon and severe complication. We showcase a 73-year-old
woman with Streptococcus pneumoniae meningitis and bacteremia developed left cavernous sinus thrombosis,
superior sagittal sinus thrombosis, non-convulsive seizures, and multiple ischemic infarctions without an evident
facial focus. This presentation highlights the need for early clinical suspicion, contrast-enhanced magnetic resonance
imaging, and prompt microbiological confirmation in patients with progressive neurological deterioration
during invasive pneumococcal disease.
Downloads
Metrics
References
Housley SB, McPheeters MJ, Raygor KP, Bouslama M, Scullen T, Davies JM. Cavernous sinus thrombosis. Neurosurg Clin N Am. 2024; 35(3): 305- 10. doi: https://doi.org/10.1016/j.nec.2024.02.002 (último acceso ago. 2026). DOI: https://doi.org/10.1016/j.nec.2024.02.002
Caranfa JT, Yoon MK. Septic cavernous sinus thrombosis: a review. Surv Ophthalmol. 2021; 66(6): 1021-30. doi: https://doi.org/10.1016/j.survophthal.2021.03.009 (último acceso ago. 2026). DOI: https://doi.org/10.1016/j.survophthal.2021.03.009
Ebright JR, Pace MT, Niazi AF. Septic thrombosis of the cavernous sinuses. Arch Intern Med. 2001; 161(22): 2671-76. doi: https://doi.org/10.1001/archinte.161.22.2671 (último acceso ago. 2026). DOI: https://doi.org/10.1001/archinte.161.22.2671
Anton-Vazquez V, Dru R, Rich P, Arias M, Macallan D. Images of the month: cavernous sinus venous thrombosis secondary to Streptococcus milleri maxillary sinusitis: an unusual cause of diplopia and headache. Clin Med (Lond). 2020; 20(6): e271-e272. doi: https://doi.org/10.7861/clinmed.2020-0689 (último acceso ago. 2026). DOI: https://doi.org/10.7861/clinmed.2020-0689
Rohowetz LJ, Gratton SM, Dansdill D, Miller CJ, Dubin S. Cavernous sinus thrombosis caused by Streptococcus constellatus-associated Lemierre syndrome presenting as an isolated abducens nerve palsy. Am J Ophthalmol Case Rep. 2020; 18: 100592. doi: https://doi.org/10.1016/j.ajoc.2020.100592 (último acceso ago. 2026). DOI: https://doi.org/10.1016/j.ajoc.2020.100592
Deliran SS, Brouwer MC, Coutinho JM, van de Beek D. Bacterial meningitis complicated by cerebral venous thrombosis. Eur Stroke J. 2020; 5(4): 394-401. doi: https://doi.org/10.1177/2396987320971112 (último acceso ago. 2026). DOI: https://doi.org/10.1177/2396987320971112
Booker J, Musher D. Sinusitis complicated by dural sinus thrombosis and Streptococcus pneumoniae endocarditis: a case report and review of the literature. J Infect. 2007; 55(1): 106-10. doi: https://doi.org/10.1016/j. jinf.2007.01.006 (último acceso ago. 2026). DOI: https://doi.org/10.1016/j.jinf.2007.02.011
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Carlos Andrés Castro-Galvis, Juan Santiago Serna-Trejos, Angie Gisell Otalvaro-Pechene, Luis Fernando Acevedo-Patiño, Mario Fernando López-Calvache
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Permite compartir, copiar y redistribuir el material en cualquier medio o formato, bajo los siguientes términos:
Reconocimiento: debe otorgar el crédito correspondiente, proporcionar un enlace a la licencia e indicar si se realizaron cambios. Puede hacerlo de cualquier manera razonable, pero no de ninguna manera que sugiera que el licenciante lo respalda a usted o su uso.
No comercial: no puede utilizar el material con fines comerciales.
No Derivados: si remezcla, transforma o construye sobre el material, no puede distribuir el material modificado.
Sin restricciones adicionales: no puede aplicar términos legales o medidas tecnológicas que restrinjan legalmente a otros de hacer cualquier cosa que permita la licencia.
