A case of COVID-19 with superficial thrombophlebitis caused by an indwelling peripheral venous catheter
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Updated: Oct 14, 2025

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
Hiroaki Tachi1, Midori Hanazawa1, Takashi Matsuda1
1Department of Respiratory Medicine Hitachi General Hospital Hitachi, Ltd Hitachi Japan.
Insights
Superficial thrombophlebitis can occur due to COVID-19 and venous catheters. Prompt removal of unnecessary catheters is crucial for managing this risk.
Area of Science:
- Infectious Diseases
- Vascular Medicine
- Critical Care Medicine
Background:
- COVID-19 infection is associated with a hypercoagulable state.
- Indwelling peripheral venous catheters are common in hospitalized patients.
- Superficial thrombophlebitis is a potential complication of venous access devices.
Observation:
- SARS-CoV-2 infection can induce a localized hypercoagulable state.
- The presence of an indwelling peripheral venous catheter can exacerbate thrombotic risk.
- These factors can converge to cause superficial thrombophlebitis.
Findings:
- A combination of SARS-CoV-2-induced hypercoagulability and a peripheral venous catheter creates a significant risk for superficial thrombophlebitis.
- Prompt removal of venous catheters when no longer indicated is a key intervention.
Implications:
- Early recognition and management of superficial thrombophlebitis in COVID-19 patients are important.
- Optimizing venous catheter management protocols can help prevent thrombotic complications.
- This highlights the need for vigilance regarding thrombotic risks in infectious diseases.
Abstract:
A local hypercoagulable state caused by SARS-CoV-2 and an indwelling peripheral venous catheter can lead to superficial thrombophlebitis. If the venous catheter is no longer needed during treatment for COVID-19 it should be removed promptly.
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