Anales de Medicina Interna
versión impresa ISSN 0212-7199
RAMOS MARTINEZ, A.; SANCHEZ ROMERO, I.; SAURA LORENTE, P. A. y PARAJON DIAZ, A.. Suppurative thrombophlebitis central venous catheterization. An. Med. Interna (Madrid) [online]. 2008, vol.25, n.6, pp.284-286. ISSN 0212-7199.
Suppurative thrombophlebitisis a very infrequent complication of the central venous catheterization. The majority of the cases are produced by species of staphylococci. A 22-year-old colombian-woman, student, without toxic habits was admitted because of temporary left astrocytoma (grade II). Nine days after implementing a catheter in the right subclavian vein she presented high fever (39.5° C), shivers, progressive right side neck swelling and odinofagia. She had leukocytosis (26,300 cells/μl) and normal cerebrospinal fluid. After withdrawing the catheter, Staphylococcus aureus was isolated in the tip of the catheter and in four bottles of blood cultures. A neck CT demonstrated expansion and absence of contrast in the right internal jugular vein. The patient evolved satisfactorily with cloxacillin, gentamycin and low molecular weight heparin.
Palabras clave : Jugular veins; Venous trombosis; Bacteremia; Staphylococcus aureus.