title: [Nosocomial cavernous sinus thrombophlebitis due to multidrug-resistant Staphylococcus aureus. A pediatric case report].
abstract: 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.
authors.affiliation: Service de chirurgie pédiatrique, CHU JRA, BP 4150, Antananarivo, Madagascar.
authors.forename: F-A
authors.initials: FA
authors.lastname: Hunald
authors.affiliation: Service de réanimation, centre hospitalier de Soavinandriana, Antananarivo, Madagascar.
authors.forename: A-M
authors.initials: AM
authors.lastname: Riel
authors.affiliation: Service de réanimation, centre hospitalier de Soavinandriana, Antananarivo, Madagascar.
authors.forename: A-J-C
authors.initials: AJ
authors.lastname: Ramorasata
authors.affiliation: Service de réanimation, centre hospitalier de Soavinandriana, Antananarivo, Madagascar.
authors.forename: X-G
authors.initials: XG
authors.lastname: Tovone
authors.affiliation: Service de chirurgie pédiatrique, CHU JRA, BP 4150, Antananarivo, Madagascar.
authors.forename: M-L
authors.initials: ML
authors.lastname: Andriamanarivo
authors.affiliation: Service de chirurgie pédiatrique, CHU JRA, BP 4150, Antananarivo, Madagascar.
authors.forename: H-N
authors.initials: HN
authors.lastname: Rakoto-Ratsimba
mesh_terms: D020226:Cavernous Sinus Thrombosis / Q000382:microbiology*; D002648:Child; D003428:Cross Infection / Q000382:microbiology*; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus; D013203:Staphylococcal Infections