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Intracranial thrombosis associated with MSSA bacteraemia in the setting of influenza A
  1. Sairam Raghavan,
  2. Sriram Gonakoti and
  3. Luis Parra-Rodriguez
  1. Internal Medicine, John H Stroger Hospital of Cook County, Chicago, Illinois, USA
  1. Correspondence to Dr Sriram Gonakoti; gonakoti{at}


The authors present a case of a 42-year-old previously healthy man who presented in sepsis, with right lateral gaze palsy. He was found to have bilateral cavernous sinus thrombosis (CST) and bilateral internal jugular thrombosis in the setting of Staphylococcus aureus bacteraemia. The patient was successfully treated and recovered from his illness after a protracted stay in the medical intensive care unit. We go over the treatment course and follow-up of this patient and discuss the need to have a high degree of clinical suspicion for CST and suppurative thrombophlebitis of the internal jugular veins. We also discuss the possible role of the Panton-Valentine leukocidin in causing thrombotic complications of S. aureus bacteraemia.

  • infectious diseases
  • cranial nerves

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  • Contributors SR—manuscript preparation. SG—manuscript review. LP-R—conception, and manuscript review.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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