Journal of Pediatric Critical Care (Jan 2021)

Cerebral venous sinus thrombosis with meningitis in a child with disseminated staphylococcal disease

  • Shalu Gupta,
  • Sanya Chopra

DOI
https://doi.org/10.4103/jpcc.jpcc_164_20
Journal volume & issue
Vol. 8, no. 3
pp. 149 – 152

Abstract

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The availability of anti-staphylococcal antibiotics today has revolutionized the treatment strategies to fight Staphylococcus aureus. However, its virulent nature still remains a major cause of morbidity and mortality, especially in the pediatric age group. It presents with a wide spectrum of illnesses ranging from minor skin and soft-tissue infections to fatal necrotizing pneumonia and disseminated disease. However, its presentation as meningitis with septic venous sinus thrombosis in pediatrics remains a rare complication till date. We present the case of an 8-month-old girl child with disseminated staphylococcal disease (DSD) caused by community-acquired methicillin-sensitive S. aureus and complicated by acute mastoiditis, meningitis, and cerebral venous sinus thrombosis. This rare and severe manifestation of DSD was managed successfully with intravenous antibiotics and systemic anticoagulation.

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