Suppurative thrombophlebitis of the superior vena cava.
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.
de Marie
S
S
Department of Infectious Diseases, University Hospital Leiden, The Netherlands.
Hagenouw-Taal
J
J
Schultze Kool
L J
LJ
Meerdink
G
G
Huysmans
H A
HA
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
D005839:Gentamicins; D002442:Ceftazidime