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Septic Thrombophlebitis with Persistent Bacteremia Treated by Thrombolysis
Boris Farny1, Charles-Hervé Vacheron2, Arnaud Friggeri2
1Brûlés Pierre Colson Centre, Edouard Herriot Hospital, Hospice Civil de Lyon, Lyon, France.
Turkish Journal of Anaesthesiology and Reanimation
|May 11, 2022
Summary
Septic thrombophlebitis management involves antibiotics and source control. In situ thrombolysis successfully cleared a persistent thrombus and bacteremia in a patient with a central venous catheter line infection.
Area of Science:
- Infectious Diseases
- Vascular Surgery
- Critical Care Medicine
Background:
- Septic thrombophlebitis necessitates antimicrobial therapy and infection source control.
- Anticoagulation management is crucial for controlling the infection source in septic thrombophlebitis.
Purpose of the Study:
- To present a case of septic thrombophlebitis involving a peripherally inserted central catheter (PICC) line.
- To highlight the successful use of in situ thrombolysis for managing persistent bacteremia and thrombus.
Main Methods:
- Case report of a 50-year-old woman with septic thrombophlebitis.
- Utilized in situ thrombolysis to address a thrombus associated with a PICC line.
- Managed persistent bacteremia and thrombus.
Main Results:
- Successful removal of the thrombus using in situ thrombolysis.
- Resolution of persistent bacteremia.
- Effective management of septic thrombophlebitis in a complex case.
Conclusions:
- In situ thrombolysis can be an effective treatment for septic thrombophlebitis with persistent thrombus and bacteremia.
- This approach offers a viable option for managing PICC line-associated infections.
- Highlights the importance of targeted thrombus removal in conjunction with antimicrobial therapy.
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