AI Article Synopsis

  • Unlabelled is a gram-positive bacterium typically found in the human body but can become an aggressive pathogen, causing serious infections like head and neck abscesses.
  • A 6-year-old girl developed multiple abscesses and a rare case of cavernous sinus thrombosis due to this organism, highlighting its potential severity.
  • Successful treatment involved a combination of long-term antibiotics, surgical drainage for larger abscesses, and consideration of anticoagulation for venous thrombosis, setting a precedent for future management of similar cases.

Article Abstract

Unlabelled: is a gram-positive commensal bacterium commonly found in the oropharynx, gastrointestinal and urogenital tracts. It might be an aggressive opportunistic pathogen causing invasive pyogenic infections in sterile areas, mostly as peritonsillar and orofacial abscesses. We report the case of a 6-year-old girl, who presented multiple head and neck abscesses and bilateral cavernous sinus thrombosis secondary to . Cavernous sinus thrombosis, consequent to this microorganism, has not been reported to date in the literature. Due to the invasive features of this pathogen, a long-term antibiotherapy (up to 9 months) is required. Additionally, a surgical drainage is indicated in case of head and neck, or brain abscesses, larger than 20 or 25 mm respectively. Anticoagulation should be considered in case of venous thrombosis. The interest of this case is not only based on the rarity and severity of the disease, but also on the success of medical and surgical therapy (including long- term antibiotics, anticoagulation and two surgical procedures). This experience may serve as a guide to treat future cases.

Supplementary Information: The online version contains supplementary material available at 10.1007/s12070-024-04511-3.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11169213PMC
http://dx.doi.org/10.1007/s12070-024-04511-3DOI Listing

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