Suppurative thrombophlebitis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History
Symptoms
For superficial suppurative thrombophlebitis, there is usually a history of intravenous catheter, a phlebotomy attempt, or an intravenous injection. Clinical manifestations include:[1][2]
- Fever
- Erythema
- Tenderness, and purulent drainage at the site of the involved vessel.
Lemierre syndrome should be suspected when there is association of pharyngeal ulceration, a pseudomembrane, erythema, tenderness, swelling, and induration overlying the jugular vein along with pharyngitis, acute fever, rigors, localized neck pain.[3]
Deep veins suppurative thrombophlebitis characterized by fever in absence of pain or swelling at the site of central venous catheter. When there is intra-abdominal veins thrombosis, there is usually abdominal pain and discomfort with or without hepatomegaly and jaundice.[4]
References
- ↑ Baker CC, Petersen SR, Sheldon GF (1979). "Septic phlebitis: a neglected disease". Am J Surg. 138 (1): 97–103. PMID 464215.
- ↑ 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.
- ↑ 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.
- ↑ 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.