Suppurative thrombophlebitis natural history, complications and prognosis: Difference between revisions
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==Overview== | ==Overview== | ||
The most common complication of suppurative thrombophlebitis is metastatic septic foci spreading to different organs of the body. Common complications of suppurative thrombophlebitis are [[septic shock]], sustained [[sepsis]],[[infective endocarditis]],[[septic emboli]] to the [[central nervous system]], and septic [[pulmonary emboli]]. Septic thrombophlebitis of the intracranial dural sinuses has a very high mortality rate, compared to pelvic and jugular thrombophlebitis. [[Lemierre syndrome]] has a documented mortality rate of 6.4%.<ref name="pmid12441902">{{cite journal| author=Chirinos JA, Lichtstein DM, Garcia J, Tamariz LJ| title=The evolution of Lemierre syndrome: report of 2 cases and review of the literature. | journal=Medicine (Baltimore) | year= 2002 | volume= 81 | issue= 6 | pages= 458-65 | pmid=12441902 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12441902 }} </ref> | The most common complication of suppurative thrombophlebitis is metastatic septic foci spreading to different organs of the body. Common complications of suppurative thrombophlebitis are [[septic shock]], sustained [[sepsis]], [[infective endocarditis]], [[septic emboli]] to the [[central nervous system]], and septic [[pulmonary emboli]]. Septic thrombophlebitis of the intracranial dural sinuses has a very high mortality rate, compared to pelvic and jugular thrombophlebitis. [[Lemierre syndrome]] has a documented mortality rate of 6.4%.<ref name="pmid12441902">{{cite journal| author=Chirinos JA, Lichtstein DM, Garcia J, Tamariz LJ| title=The evolution of Lemierre syndrome: report of 2 cases and review of the literature. | journal=Medicine (Baltimore) | year= 2002 | volume= 81 | issue= 6 | pages= 458-65 | pmid=12441902 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12441902 }} </ref> | ||
==Complications== | ==Complications== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Maliha Shakil, M.D. [2]
Overview
The most common complication of suppurative thrombophlebitis is metastatic septic foci spreading to different organs of the body. Common complications of suppurative thrombophlebitis are septic shock, sustained sepsis, infective endocarditis, septic emboli to the central nervous system, and septic pulmonary emboli. Septic thrombophlebitis of the intracranial dural sinuses has a very high mortality rate, compared to pelvic and jugular thrombophlebitis. Lemierre syndrome has a documented mortality rate of 6.4%.[1]
Complications
The most common complication of suppurative thrombophlebitis is metastatic septic foci spreading to different organs of the body. Common complications of suppurative thrombophlebitis include:
- Septic shock
- Sustained sepsis
- Infective endocarditis
- Septic emboli to the central nervous system
- Septic pulmonary emboli
- Osteomyelitis
- Septic arthritis
- Arteritis
Complications of suppurative thrombophlebitis occur in one third of all patients with catheter-associated peripheral septic phlebitis, with the most severe complications caused by Staphylococcus aureus.[2]
Prognosis
Septic thrombophlebitis of the intracranial dural sinuses has a very high mortality rate, compared to pelvic and jugular thrombophlebitis. Lemierre syndrome has a mortality rate of 6.4%.[1]
References
- ↑ 1.0 1.1 Chirinos JA, Lichtstein DM, Garcia J, Tamariz LJ (2002). "The evolution of Lemierre syndrome: report of 2 cases and review of the literature". Medicine (Baltimore). 81 (6): 458–65. PMID 12441902.
- ↑ Arnow PM, Quimosing EM, Beach M (1993). "Consequences of intravascular catheter sepsis". Clin Infect Dis. 16 (6): 778–84. PMID 8329510.