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Septic internal jugular vein thrombosis caused by Fusobacterium necrophorum and mediated by a broken needle

George Galyfos1, Konstantinos Palogos, Nikolaos Kavouras

  • 1From the Department of Surgery, General Hospital of Chalkis , Chalkis , Greece.

Scandinavian Journal of Infectious Diseases
|October 8, 2014
PubMed

Insights

Intravenous drug users presenting with neck swelling may have internal jugular vein thrombosis. Prompt antibiotic treatment is crucial for this rare but serious condition.

Area of Science:

  • Internal Medicine
  • Infectious Diseases
  • Radiology

Background:

  • Internal jugular vein thrombosis (IJVT) is a rare complication, particularly in intravenous drug users (IDUs).
  • Neck trauma or infection can lead to IJVT, posing risks of severe complications like sepsis and pulmonary embolism.

Observation:

  • A 31-year-old male IDU presented with fever, dyspnea, and right neck edema.
  • Radiographic imaging revealed a retained foreign object (broken syringe needle) in the neck.
  • Cervical CT confirmed complete thrombosis of the right internal jugular vein.

Findings:

  • Blood tests indicated elevated inflammatory markers.
  • The patient was diagnosed with septic IJVT caused by *Fusobacterium necrophorum*, an oropharynx-derived pathogen.
  • Cervical CT confirmed complete thrombosis of the right internal jugular vein.

Implications:

  • Septic IJVT should be considered in IDUs with neck inflammation and systemic sepsis.
  • Aggressive intravenous antibiotic therapy is vital for managing this condition.
  • The optimal role of anticoagulation in septic IJVT remains uncertain and requires further investigation.
Keywords:
Fusobacterium necrophorumIntravenous drug useLemierre syndromeanticoagulationseptic thrombophlebitis

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