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Primary deep venous septic thrombophlebitis in a child
E S Arisoy1, A Correa-Calderón, S L Kaplan
1Department of Pediatrics, Baylor College of Medicine, Houston, TX.
The Journal of Pediatrics
|March 1, 1994
Summary
A rare case of primary Staphylococcus aureus thrombophlebitis occurred in a 12-year-old boy without trauma or osteomyelitis. He successfully responded to intravenous antibiotics, despite developing oxacillin-associated hepatitis.
Area of Science:
- Vascular Medicine
- Infectious Diseases
- Pediatric Thrombosis
Background:
- Primary venous thrombophlebitis is uncommon in children.
- Staphylococcus aureus is a potential pathogen in pediatric vascular infections.
Observation:
- A 12-year-old boy presented with spontaneous femoral and iliac vein thrombophlebitis.
- No history of trauma or concurrent osteomyelitis was noted.
Findings:
- The patient received 6 weeks of intravenous antibiotics.
- Successful resolution of thrombophlebitis was achieved.
- Oxacillin therapy led to drug-induced hepatitis.
Implications:
- Highlights the possibility of primary S. aureus thrombophlebitis in pediatric patients.
- Underscores the importance of vigilant monitoring for antibiotic-related adverse events.
- Informs treatment strategies for pediatric deep vein thrombosis secondary to infection.