Abstract:

We present a young female who developed bilateral cavernous sinus thrombophlebitis after a week’s history of a single acne-like lesion or furuncle over the right lateral ala of the nose which she had squeezed. She was managed aggressively with intravenous antibiotics, heparin and a sliding scale of insulin. Signs and symptoms improved after 2 weeks of treatment, and she was discharged from hospital on an oral anticoagulant.

Keywords: Bilateral Cavenous Sinus Thrombosis, Proptosis, Ophthalmoplegia, Nasal Furunculosis, Facial cellulitis

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