Medical treatment of a central vein suppurative thrombosis with cerebral metastatic abscesses in a burned child.
A 2-year-old girl admitted with third degree burns (35% TBSA) received 7 weeks poly-antibiotic therapy combined with heparin for a severe Methicillin-resistant Staphylococcus aureus sepsis with multiple metastatic abscesses (lung, skin, brain), from a suppurative thrombophlebitis of the right jugularis interna, extended to the axillary and cava superior veins. Surgical treatment was contraindicated by the local extension. The child was discharged without major neurological sequelae 3 months after admission.
Reper
P
P
Critical Care Department, Queen Astrid Military Hospital, Burn Center, Bruinstreet 1, 1120, Brussels, Belgium. reper@smd.be
Van Der Rest
P
P
Creemers
A
A
Vandenen
D
D
Vanderkelen
A
A
D000038:Abscess / Q000209:etiology / Q000628:therapy; D001424:Bacterial Infections / Q000209:etiology*; D001922:Brain Abscess / Q000209:etiology* / Q000628:therapy; D002056:Burns / Q000382:microbiology / Q000628:therapy*; D002177:Candidiasis / Q000209:etiology; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007601:Jugular Veins; D012874:Skin Diseases, Infectious / Q000209:etiology / Q000628:therapy; D020246:Venous Thrombosis / Q000209:etiology* / Q000382:microbiology / Q000628:therapy