Mediastinitis and mediastinitis-like symptoms associated with mal-positioning of a Port-A catheter.
Mediastinitis is a life-threatening condition and would appear to have been rarely reported as arising as a central-venous catheter-associated complication. Here we report on one cancer patient featuring a Port-A catheter tip positioned within the innominate vein, who developed mediastinitis and mediastinitis-like symptoms subsequent to chemotherapeutic-agent infusion through this catheter. The relevant literature pertaining to this condition was reviewed, and the possible pathophysiology of the condition was discussed.
Huang
T-C
TC
Division of Hematology/Oncology, National Defense Medical Center, Tri-Service General Hospital, Taipei, Taiwan.
Hsu
H-H
HH
Hsu
Y-M
YM
Yao
N-S
NS
D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008480:Mediastinitis / Q000175:diagnosis / Q000209:etiology*; D019300:Medical Errors; D008875:Middle Aged; D014057:Tomography, X-Ray Computed