title: Suppurative thrombophlebitis of the superior vena cava.
abstract: A 22-year-old woman, a neurosurgical comatose patient developed suppurative thrombophlebitis of the superior vena cava due to Klebsiella pneumoniae, as a complication of catheterisation for parenteral nutrition. The diagnosis was established by gallium scan, computed tomography and digital vascular imaging. Conservative treatment with antibiotics and heparin resulted in the emergence of a resistant mutant of the causative agent. The infection could only be eradicated after surgical thrombectomy.
authors.affiliation: Department of Infectious Diseases, University Hospital Leiden, The Netherlands.
authors.forename: S
authors.initials: S
authors.lastname: de Marie
authors.forename: J
authors.initials: J
authors.lastname: Hagenouw-Taal
authors.forename: L J
authors.initials: LJ
authors.lastname: Schultze Kool
authors.forename: G
authors.initials: G
authors.lastname: Meerdink
authors.forename: H A
authors.initials: HA
authors.lastname: Huysmans
mesh_terms: D000328:Adult; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002442:Ceftazidime / Q000627:therapeutic use; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D011856:Radiographic Image Enhancement; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014683:Vena Cava, Superior
chemical_list: D005839:Gentamicins; D002442:Ceftazidime