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Cavernous Sinus Thrombosis Secondary to Streptococcus Constellatus Pharynges

Natalia Jaramillo-Ángel1, Miguel Saro-Buendía1,2, Joan Carreres Polo3

  • 1Departamento de Otorrinolaringología, Hospital Universitario y Politécnico La Fe, València, España.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|June 17, 2024
PubMed

Insights

A rare case of Streptococcus constellatus pharyngis caused multiple head and neck abscesses and cavernous sinus thrombosis in a child. Successful treatment involved long-term antibiotics, anticoagulation, and surgery.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Otolaryngology

Background:

  • Streptococcus constellatus pharyngis is a common commensal bacterium.
  • It can act as an opportunistic pathogen, causing invasive pyogenic infections like abscesses.
  • Invasive infections in sterile sites are rare but serious.

Purpose of the Study:

  • To report a unique case of Streptococcus constellatus pharyngis causing head and neck abscesses and cavernous sinus thrombosis.
  • To highlight the rarity and severity of this specific presentation.
  • To provide insights into the successful management of such invasive infections.

Main Methods:

  • Case report of a 6-year-old girl with multiple head and neck abscesses and bilateral cavernous sinus thrombosis.
  • Diagnosis confirmed as Streptococcus constellatus pharyngis infection.
  • Treatment involved a multidisciplinary approach including long-term antibiotics, anticoagulation, and surgical drainage.

Main Results:

  • The patient presented with multiple head and neck abscesses and bilateral cavernous sinus thrombosis.
  • Cavernous sinus thrombosis secondary to Streptococcus constellatus pharyngis is a novel finding in the literature.
  • Successful outcomes were achieved with a combination of medical and surgical interventions.

Conclusions:

  • Streptococcus constellatus pharyngis can cause severe, invasive infections beyond typical orofacial abscesses.
  • Prompt and aggressive management, including long-term antibiotics, anticoagulation, and surgical intervention, is crucial for favorable outcomes.
  • This case serves as a potential guide for managing similar rare and severe infections.
Keywords:
AnticoagulationBrain AbscessesCavernous Sinus ThrombosisGram Positive Commensal BacteriumHead and neck AbscessesInvasive Pyogenic InfectionsLong term AntibiotherapyStreptococcus constellatus pharyngis

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