Septic Pulmonary Emboli From Peripheral Suppurative Thrombophlebitis: A Case Report and Literature Review
Vy T Ho1, Kara A Rothenberg1,2, Graeme McFarland1
11 Division of Vascular Surgery, Department of Surgery, Stanford Health Care, Stanford, CA, USA.
Vascular and Endovascular Surgery
|June 19, 2018
Summary
Septic pulmonary emboli can arise from suppurative thrombophlebitis, a rare condition often linked to intravenous sites. Prompt diagnosis and surgical intervention are crucial for effective management of this serious infection.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Critical Care Medicine
Background:
- Suppurative thrombophlebitis is a rare but serious infection involving a purulent vein.
- It can lead to severe complications such as septic pulmonary emboli.
Observation:
- A 90-year-old woman presented with septic pulmonary emboli originating from an old peripheral intravenous site.
- Initial antibiotic treatment was unsuccessful.
Findings:
- Surgical excision and drainage of the infected vein were performed.
- A literature review highlighted the importance of clinical suspicion for diagnosis, and discussed presentation, risk factors, treatment, and complications.
Implications:
- This case underscores the need for vigilance in diagnosing suppurative thrombophlebitis, particularly in elderly patients with a history of intravenous access.
- Early surgical intervention alongside appropriate medical management is vital for improving patient outcomes and preventing life-threatening complications.
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