Empyema Secondary a Septic Embolus in a Patient with Septic Cavernous Sinus Thrombosis: A Case Report and Review of the Literature

Background: Septic cavernous sinus thrombosis (SCST) is an unusual and life-threatening condition that can develop as a result of infectious or noninfectious conditions. (1) There are very few reports of septic pulmonary embolism secondary to a septic cavernous sinus thrombosis. Case presentation: Here we describe the case of a 31-year-old female who was immunocompromised secondary to the intake of methylprednisolone, chronic pansinusitis was stablished and she developed, fever, left-sided headache, facial pain, eyelid swelling, and proptosis with ophthalmoplegia in her left eye, loss of the visual acuity. CT revealed cavernous sinus thrombosis with indirect data. Blood, sinus and pleural cultures isolated Streptococcus pneumoniae. Chest CT revealed a right multiloculated empyema and a cavitated nodule that corresponds to an infectious process, of note the presence of multiple nodules scattered among both lungs, suggestive of septic pulmonary emboli. Multidisciplinary strategy was implemented and after discharge the patient is under surveillance with adequate recovery Conclusion: We report this peculiar case that shows the importance of multidisciplinary approach for the management of this rare entity. We have noticed all type of scenarios and the base of this is a prompt diagnosis and avoid possible complications in order prevent serious and permanent sequalae.