Management of candidal thrombophlebitis of the central veins: case report and review.
Candidemia and major organ candidiasis are problems that emerged in the past 2 decades and that are partially due to medical progress. Catheter-related thrombosis of the central veins is known to be a frequent but mostly subclinical complication of central venous lines. Although candidemia and catheter-related thrombosis are frequent, candida thrombophlebitis of the central veins is rarely reported. We recently successfully treated a 19-year-old polytrauma patient with candidal thrombophlebitis of the innominate vein. Despite catheter removal and therapy with amphotericin B, recurrent candidemia and signs of infection persisted, and a complete resection of the involved vein had to be performed. Only 16 well-documented cases of candidal thrombophlebitis of the central veins in adults have been reported over the past 20 years. An analysis of these 16 patients, together with our patient, is made in relation to risk factors, clinical features, diagnosis, therapy, and mortality.
Benoit
D
D
Department of Intensive Care and Thoraco-Vascular Surgery, State University Hospital, Ghent, Belguim.
Decruyenaere
J
J
Vandewoude
K
K
Roosens
C
C
Hoste
E
E
Poelaert
J
J
Vermassen
F
F
Colardyn
F
F
D000328:Adult; D016121:Brachiocephalic Veins / Q000382:microbiology* / Q000473:pathology; D002177:Candidiasis / Q000150:complications / Q000382:microbiology / Q000503:physiopathology / Q000628:therapy*; D002405:Catheterization, Central Venous / Q000009:adverse effects; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013924:Thrombophlebitis / Q000150:complications / Q000382:microbiology / Q000503:physiopathology / Q000628:therapy*