[Septic thrombophlebitis of the great vessels of the neck. A severe complication of central venous catheters].
Septic thrombophlebitis of the large veins of the neck is an uncommon, but extremely severe, complication in carriers of central venous catheters. Treatment of these cases is difficult and, generally, the clinical condition does not permit surgical approach. Four patients with septic central vein thrombophlebitis are reported. They were treated with conservative measures including catheter removal and high-dose parenteral antibiotics for at least four weeks, with excellent results in all. The relevant literature and the therapeutic alternatives are reviewed.
de Górgolas
M
M
División de Enfermedades Infecciosas (Departamento de Medicina Interna), Fundación Jiménez Díaz, Universidad Autónoma, Madrid.
Azofra
J
J
Verdejo
C
C
Torres
R
R
Fernández Guerrero
M L
ML
D000328:Adult; D000368:Aged; D001424:Bacterial Infections / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000098:blood supply*; D013924:Thrombophlebitis / Q000382:microbiology*
Tromboflebitis séptica de las grandes venas del cuello. Una complicación grave de los catéteres venosos centrales.