Suppurative thrombophlebitis history and symptoms: Difference between revisions
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==Symptoms== | ==Symptoms== | ||
Symptoms of [[Lemierre syndrome]] include:<ref name="pmid2646510">{{cite journal| author=Sinave CP, Hardy GJ, Fardy PW| title=The Lemierre syndrome: suppurative thrombophlebitis of the internal jugular vein secondary to oropharyngeal infection. | journal=Medicine (Baltimore) | year= 1989 | volume= 68 | issue= 2 | pages= 85-94 | pmid=2646510 | doi= | pmc= | http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2646510 }} </ref> | Symptoms of [[Lemierre syndrome]] include:<ref name="pmid2646510">{{cite journal| author=Sinave CP, Hardy GJ, Fardy PW| title=The Lemierre syndrome: suppurative thrombophlebitis of the internal jugular vein secondary to oropharyngeal infection. | journal=Medicine (Baltimore) | year= 1989 | volume= 68 | issue= 2 | pages= 85-94 | pmid=2646510 | doi= | pmc= | http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2646510 }} </ref> | ||
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*Localized neck pain | *Localized neck pain | ||
*Muscle pain | *Muscle pain | ||
Common symptoms of superficial vein thrombophlebitis include:<ref name="pmid464215">{{cite journal| author=Baker CC, Petersen SR, Sheldon GF| title=Septic phlebitis: a neglected disease. | journal=Am J Surg | year= 1979 | volume= 138 | issue= 1 | pages= 97-103 | pmid=464215 | doi= | pmc= | http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=464215 }} </ref><ref name="pmid9002104">{{cite journal| author=Khan EA, Correa AG, Baker CJ| title=Suppurative thrombophlebitis in children: a ten-year experience. | journal=Pediatr Infect Dis J | year= 1997 | volume= 16 | issue= 1 | pages= 63-7 | pmid=9002104 | doi= | pmc= | http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9002104 }} </ref> | |||
*Fever | |||
*Erythema | |||
*Tenderness and purulent drainage at the site of the involved vessel | |||
Deep veins suppurative thrombophlebitis is characterized by fever in absence of pain or swelling at the site of a central venous catheter. When there is thrombosis of the intra-abdominal veins, abdominal pain and discomfort with or without hepatomegaly and jaundice may occur.<ref name="pmid8589130">{{cite journal| author=Plemmons RM, Dooley DP, Longfield RN| title=Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management in the modern era. | journal=Clin Infect Dis | year= 1995 | volume= 21 | issue= 5 | pages= 1114-20 | pmid=8589130 | doi= | pmc= | http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8589130 }} </ref> | Deep veins suppurative thrombophlebitis is characterized by fever in absence of pain or swelling at the site of a central venous catheter. When there is thrombosis of the intra-abdominal veins, abdominal pain and discomfort with or without hepatomegaly and jaundice may occur.<ref name="pmid8589130">{{cite journal| author=Plemmons RM, Dooley DP, Longfield RN| title=Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management in the modern era. | journal=Clin Infect Dis | year= 1995 | volume= 21 | issue= 5 | pages= 1114-20 | pmid=8589130 | doi= | pmc= | http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8589130 }} </ref> | ||
Common symptoms of portal vein thrombophlebitis (pylephlebitis) include:<ref name="pmid23882407">{{cite journal| author=Wong K, Weisman DS, Patrice KA| title=Pylephlebitis: a rare complication of an intra-abdominal infection. | journal=J Community Hosp Intern Med Perspect | year= 2013 | volume= 3 | issue= 2 | pages= | pmid=23882407 | doi=10.3402/jchimp.v3i2.20732 | pmc=PMC3716219 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23882407 }} </ref> | |||
*Fever | |||
*Abdominal pain | |||
*Chills | |||
*Nausea and vomiting | |||
*Fatigue | |||
==References== | ==References== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
When obtaining a history from a patient with suspected suppurative thrombophlebitis, specific areas of focus include a history of an intravenous catheter, a phlebotomy attempt, and intravenous injections. Common symptoms of superficial vein thrombophlebitis include fever, erythema, and tenderness and purulent drainage at the site of the involved vessel.[1][2] Symptoms of Lemierre syndrome include fever, rigors, localized neck pain, and erythema, tenderness, swelling, and induration overlying the jugular vein.[3]
History
When obtaining a history from a patient with suspected suppurative thrombophlebitis, specific areas of focus include:
- A history of an intravenous catheter
- A phlebotomy attempt
- Intravenous injections
Symptoms
Symptoms of Lemierre syndrome include:[3]
- Erythema, tenderness, swelling, and induration overlying the jugular vein
- Pharyngitis
- Acute fever
- Rigors
- Localized neck pain
- Muscle pain
Common symptoms of superficial vein thrombophlebitis include:[1][2]
- Fever
- Erythema
- Tenderness and purulent drainage at the site of the involved vessel
Deep veins suppurative thrombophlebitis is characterized by fever in absence of pain or swelling at the site of a central venous catheter. When there is thrombosis of the intra-abdominal veins, abdominal pain and discomfort with or without hepatomegaly and jaundice may occur.[4]
Common symptoms of portal vein thrombophlebitis (pylephlebitis) include:[5]
- Fever
- Abdominal pain
- Chills
- Nausea and vomiting
- Fatigue
References
- ↑ 1.0 1.1 Baker CC, Petersen SR, Sheldon GF (1979). "Septic phlebitis: a neglected disease". Am J Surg. 138 (1): 97–103. PMID 464215. Unknown parameter
|http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=ignored (help) - ↑ 2.0 2.1 Khan EA, Correa AG, Baker CJ (1997). "Suppurative thrombophlebitis in children: a ten-year experience". Pediatr Infect Dis J. 16 (1): 63–7. PMID 9002104. Unknown parameter
|http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=ignored (help) - ↑ 3.0 3.1 Sinave CP, Hardy GJ, Fardy PW (1989). "The Lemierre syndrome: suppurative thrombophlebitis of the internal jugular vein secondary to oropharyngeal infection". Medicine (Baltimore). 68 (2): 85–94. PMID 2646510. Unknown parameter
|http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=ignored (help) - ↑ Plemmons RM, Dooley DP, Longfield RN (1995). "Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management in the modern era". Clin Infect Dis. 21 (5): 1114–20. PMID 8589130. Unknown parameter
|http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=ignored (help) - ↑ Wong K, Weisman DS, Patrice KA (2013). "Pylephlebitis: a rare complication of an intra-abdominal infection". J Community Hosp Intern Med Perspect. 3 (2). doi:10.3402/jchimp.v3i2.20732. PMC 3716219. PMID 23882407.