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Bilateral suppurative thrombophlebitis due to Staphylococcus aureus

C Villani1, D H Johnson, B A Cunha

  • 1Infectious Disease Division, Winthrop-University Hospital, Mineola, NY 11501, USA.

Heart & Lung : the Journal of Critical Care
|July 1, 1995
PubMed
Summary

Suppurative thrombophlebitis, a vein infection linked to IVs, is common in immunocompromised patients. This case highlights an unusual bilateral presentation of Staphylococcus aureus infection.

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Area of Science:

  • Infectious Diseases
  • Vascular Surgery
  • Nosocomial Infections

Background:

  • Suppurative thrombophlebitis is a superficial vein infection, often linked to intravenous catheter placement.
  • It constitutes approximately 10% of all nosocomial infections and commonly affects patients with burns, cancer, or those on steroids.

Observation:

  • The most frequent pathogens are skin flora, particularly Staphylococcus aureus.
  • Suspicion arises when phlebitis is accompanied by a temperature of 102°F or higher.
  • Diagnosis is typically confirmed by the presence of pus from the IV site or percutaneous aspiration.

Findings:

  • Treatment involves venotomy of the affected vein and systemic antimicrobial therapy.
  • This report details an exceptionally rare case of bilateral suppurative thrombophlebitis caused by Staphylococcus aureus.

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Implications:

  • This unusual case expands the understanding of suppurative thrombophlebitis presentations.
  • Highlights the importance of considering rare presentations in clinical diagnosis and management.
  • Emphasizes the role of Staphylococcus aureus in complex nosocomial infections.