SARS-CoV-2 associated septic venous cavernous sinus thrombosis: A case report

Area of Science:

• Neurology
• Infectious Diseases
• Vascular Medicine

Background:

• Cavernous sinus thrombosis (CST) is a rare but severe condition often caused by infection or coagulation disorders.
• COVID-19 has been associated with an increased risk of thromboembolic events due to endothelial and clotting factor dysfunction.

Observation:

• A case of cavernous sinus thrombosis (CST) and subsequent ophthalmic vein thrombosis is presented.
• The patient had a preceding COVID-19 infection.
• Diagnosis was confirmed using facial computed tomography (CT) scan.

Findings:

• The study reports a delayed presentation of cavernous sinus thrombosis and ophthalmic vein thrombosis.
• These thrombotic events were associated with a prior COVID-19 infection, suggesting a potential link between viral infection and hypercoagulability.

Implications:

• Clinicians must consider COVID-19 as a potential cause for hypercoagulable states and associated thrombotic complications.
• Early recognition and management of such complications are crucial for patient outcomes.
• This case underscores the importance of a broad differential diagnosis in patients presenting with thrombotic events, especially in the context of recent viral infections.