Cavernous sinus thrombosis in two Papua new Guineans
Scrimgeour, E.M.; Alemaena, O.K.; Salomon, B.
Tropical and Geographical Medicine 37(2): 194-197
1985
ISSN/ISBN: 0041-3232 PMID: 4035789 Document Number: 256918
Bilateral cavernous sinus thrombosis developed following minor forehead abrasions in two adult Melanesians in Papua New Guinea. In both cases diagnosis and the institution of appropriate treatment were delayed. The first patient died but the second survived with residual 6th cranial nerve palsy. Whenever this condition is suspected, because of the high case fatality rate, high-dose, intravenous antibiotic treatment which should include an agent effective against penicillinresistant staphylococci should be commenced without delay pending further investigation.