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Catheter-related gas-forming suppurative thrombophlebitis
Yasuyoshi Miyamura1, Takeshi Shimazaki2, Kunihiko Okada2
1Department of Emergency and Critical Care Medicine, Saku Central Hospital Advanced Care Center, Nakagomi, Saku, Nagano, 3400-28, Japan. yaskichi18@yahoo.co.jp.
International Journal of Emergency Medicine
|March 3, 2024
Summary
Catheter-related suppurative thrombophlebitis (CRST) can rarely be caused by Clostridium perfringens. Gas-forming thrombus around the catheter aids in early diagnosis of this rare infection.
Area of Science:
- Infectious Diseases
- Medical Microbiology
- Vascular Surgery
Background:
- Catheter-related suppurative thrombophlebitis (CRST) is a serious complication of central venous catheter use.
- The causative pathogens of CRST typically mirror those of catheter-related bloodstream infections (CRBSI).
- Clostridium perfringens, known for causing gas gangrene, is an uncommon pathogen in both CRBSI and CRST.
Purpose of the Study:
- To report a rare case of catheter-related gas-forming suppurative thrombophlebitis.
- To highlight the role of Clostridium perfringens as a causative agent in this specific clinical scenario.
- To emphasize the diagnostic utility of gas-forming thrombus in early detection.
Main Methods:
- Case report presentation.
- Review of clinical presentation and diagnostic findings.
- Microbiological identification of Clostridium perfringens.
Main Results:
- A patient developed catheter-related gas-forming suppurative thrombophlebitis.
- The infection was confirmed to be caused by Clostridium perfringens.
- Gas formation within the thrombus surrounding the catheter was a key diagnostic observation.
Conclusions:
- Clostridium perfringens can cause catheter-related gas-forming suppurative thrombophlebitis.
- The presence of gas-forming thrombus is a valuable indicator for the early diagnosis of Clostridium-associated CRST.
- This case underscores the importance of considering rare pathogens in complex catheter-related infections.
Keywords:
Clostridium perfringensCatheter-related bloodstream infectionCentral line-associated bloodstream infectionCentral venous catheter-related thrombosisGas-forming suppurative thrombophlebitisMore Related Videos
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