1/11. Cannula related suppurative thrombophlebitis in the burned patient.Suppurative thrombophlebitis is a well recognised and potentially fatal complication of intravenous cannulation in burns patients. We report a case of an Afro-Caribbean patient with noninsulin-dependent diabetes who developed signs of systemic sepsis two weeks after a 14% total body surface area flame burn. Despite an initial paucity of clinical signs at the cannulation site, exploratory venotomy revealed frank suppuration within the long saphenous vein from the ankle to the groin. This was treated successfully by total excision of the vein and its tributaries and delayed wound closure. Following this, a retrospective analysis of the measured clinical parameters and blood tests revealed no obvious, missed pointers to the impending sepsis other than a dramatic increase in the overall daily insulin requirement. This had doubled over a 48-h period, preceding the clinical diagnosis by three days. The relevant literature and guidelines for management are reviewed.- - - - - - - - - - ranking = 1keywords = thrombophlebitis (Clic here for more details about this article) |
2/11. fusarium proliferatum superficial suppurative thrombophlebitis.fungi are increasingly recognized as microorganisms causing superficial suppurative thrombophlebitis being managed by aggressive surgical therapy and antifungal agents. We report a case of fusarium proliferatum superficial suppurative thrombophlebitis in an immunocompetent patient with no evidence of systemic infection and who responded to venotomy alone.- - - - - - - - - - ranking = 1.2keywords = thrombophlebitis (Clic here for more details about this article) |
3/11. Suppurative thrombophlebitis due to aeromonas.A patient developed lethal suppurative thrombophlebitis and adjacent soft-tissue infection caused by aeromonas. Potential risk factors included corticosteroid therapy and the use of warm tap water compresses at the site of intravenous catheter-related phlebitis. This case demonstrates the rapidly invasive characteristics of aeromonas and the need for early surgical intervention in suppurative thrombophlebitis.- - - - - - - - - - ranking = 1.2keywords = thrombophlebitis (Clic here for more details about this article) |
4/11. Treatment of silastic catheter-induced central vein septic thrombophlebitis.Two patients with surgically implanted right atrial silastic catheters for home hyperalimentation developed central vein septic thrombophlebitis. Initial treatment including removal of the catheter and antibiotic therapy was unsuccessful and both patients had persistent fever and bacteremia. A clinical and microbiologic response occurred when anticoagulation therapy with heparin was added to the treatment regimen. Although a surgical approach has been emphasized in patients with peripheral vein suppurative thrombophlebitis, anticoagulation therapy may be a useful alternative in the treatment of patients with central vein infection.- - - - - - - - - - ranking = 1.2keywords = thrombophlebitis (Clic here for more details about this article) |
5/11. Septic pelvic thrombophlebitis: an update.Septic pelvic thrombophlebitis is the result of serious pelvic infection usually following obstetric or gynecologic procedures. The management of this condition is of historical interest to the department of obstetrics and gynecology at Tulane, and therefore a retrospective case evaluation and a prospective surveillance were undertaken. This study indicates that septic pelvic thrombophlebitis is seen very rarely today. Possible reasons for the decline in the incidence of this problem and a management plan are presented. Three cases are included.- - - - - - - - - - ranking = 1.2keywords = thrombophlebitis (Clic here for more details about this article) |
6/11. Surgical approach to extensive suppurative thrombophlebitis of the central veins of the chest.Suppurative thrombophlebitis is a potentially lethal intravascular infection associated with the usage of intravenous catheters. Conventional approaches to management include ligation and excision of involved venous structures. These measures may not be feasible in all situations. This paper describes the successful medical/surgical management of a patient with suppurative thrombophlebitis of the major vessels of the chest. When suppurative thrombophlebitis extends into the large central veins and antibiotic therapy fails, surgical intervention may be necessary.- - - - - - - - - - ranking = 1.4keywords = thrombophlebitis (Clic here for more details about this article) |
7/11. Candidal suppurative peripheral thrombophlebitis.Transient candidemia is common with prolonged intravenous therapy. Sustained candidemia, however, usually indicates a persistent focus of infection. A complication of intravenous therapy not previously emphasized is persistent candidemia caused by candidal suppurative peripheral thrombophlebitis. We report six cases that appeared during intravenous therapy: the infection was characterized by a thrombosed peripheral vein at an intravenous site with manifestations for candida septicemia with or without disseminated candidiasis. In two patients, the source of the process was occult; the examination showed only a thrombosed noninflamed vein. In all cases, surgical exploration showed the thrombosed veins to be suppurative with positive cultures for Candida. Special stains, moreover, showed Candida in the luminal clot and the vascular wall. In the five surviving patients, cure was achieved by excision of the affected vein. Four received a short course of amphotericin b and 5-fluorocytosine, and one patient received amphotericin b only.- - - - - - - - - - ranking = 1keywords = thrombophlebitis (Clic here for more details about this article) |
8/11. Suppurative thrombophlebitis in childhood.thrombophlebitis in children is almost always related to intravenous therapy. In most cases the inflammatory reaction is self-limited and resolves when the intravenous catheter or needle is removed. In some cases contamination may result in suppurative thrombophlebitis, a potentially life-threatening complication of intravenous therapy. This report describes two-6-year-old children with suppurative thrombophlebitis that was successfully treated by drainage of periphlebitic abscess and excision of the infected vein. Early recognition and prompt surgical management should reduce morbidity and prevent mortality in these cases.- - - - - - - - - - ranking = 1.2keywords = thrombophlebitis (Clic here for more details about this article) |
9/11. Suppurative pylephlebitis and pylethrombosis: the role of anticoagulation.Suppurative thrombophlebitis of the portal vein resulting from inflammatory intra-abdominal conditions is a rare complication that may result in pylethrombosis and portal hypertension. A case is presented with documented pylethrombosis caused by diverticulitis. color flow Doppler scanning was used to establish the diagnosis. Systemic anticoagulation therapy was added to the antibiotic regimen because of postoperative propagation of the clot. Anticoagulation therapy prompted resolution of the episode. Long-term follow-up studies demonstrated recanalization of the portal vein. Anticoagulation should be instituted with documented acute pylethrombosis caused by inflammatory disease of the abdomen.- - - - - - - - - - ranking = 0.2keywords = thrombophlebitis (Clic here for more details about this article) |
10/11. Surgical management of Candida suppurative thrombophlebitis of superior vena cava after central venous catheterization.Septic deep venous thrombosis is a major complication associated with central venous catheterization in intensive care units. The most common causative organisms are staphylococcus aureus, gram-negative bacilli and Candida species. The incidence of Candida infections is increasing, especially in intensive care patients receiving total parenteral nutrition and long-term broad-spectrum antibiotics. Although intravascular catheter-induced septic thrombophlebitis is quite common, superior vena cava obstruction is a rare complication. However, few data exist concerning the best strategy for managing septic thrombophlebitis, especially when medical therapy fails. We report successful surgical management of candida albicans suppurative thrombosis of the superior vena cava in a young patient.- - - - - - - - - - ranking = 1.2keywords = thrombophlebitis (Clic here for more details about this article) |
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