Percutaneous central line extravasation masquerading as an abscess.
BACKGROUND
Percutaneous central line insertion is a common procedure in the neonatal intensive care unit.


METHODS
A preterm baby, who had a percutaneous central line inserted developed an erythematous swelling over the infraclavicular area.


METHODS
A diagnosis of abscess was made, and an incision and drainage done that revealed a white fluid with high triglyceride content, confirming lipid extravasation.


RESULTS
The lesion healed completely few days after removal of the catheter.


CONCLUSIONS
This case highlights the importance of proper placement and confirmation of central line position.
Department of Neonatology, Christian Medical College, Vellore , Tamil Nadu, India. Correspondence to: Dr Niranjan Thomas, Professor, Department of Neonatology, Christian Medical College Hospital, Vellore 632 004, Tamilnadu, India. niranjan@cmcvellore.ac.in.
Binu
B
Govind
Prakash Ignace
PI
Tete
Niranjan
N
Thomas
D000038:Abscess; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D010289:Parenteral Nutrition, Total / Q000295:instrumentation*