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Suppurative thrombophlebitis of the superior vena cava
S de Marie1, J Hagenouw-Taal, L J Schultze Kool
1Department of Infectious Diseases, University Hospital Leiden, The Netherlands.
Scandinavian Journal of Infectious Diseases
|January 1, 1989
Abstract:
A 22-year-old woman, a neurosurgical comatose patient developed suppurative thrombophlebitis of the superior vena cava due to Klebsiella pneumoniae, as a complication of catheterisation for parenteral nutrition. The diagnosis was established by gallium scan, computed tomography and digital vascular imaging. Conservative treatment with antibiotics and heparin resulted in the emergence of a resistant mutant of the causative agent. The infection could only be eradicated after surgical thrombectomy.