Presentation
At diagnosis, fever was present in 33 patients (94%), and 33 (94%) had local signs of inflammation. Pus was expressed from the infusion site in 25 patients (71%). All patients had plastic catheters, with 95% present longer than 48 hours. [ncbi.nlm.nih.gov]
Patients often appear clinically ill, with sepsis sometimes apparent on presentation. [emedicine.medscape.com]
Entire Body System
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Chills
He also notes fever and chills since last night. [emcurious.com]
People with weakened immune systems Infants and children The elderly People with chronic illnesses, such as diabetes, AIDS, cancer, and kidney or liver disease People suffering from a severe burn or physical trauma Common symptoms of sepsis are fever, chills [icdlist.com]
The most common symptoms include: fever chills abdominal pain or tenderness flank or back pain a “ropelike” mass in the abdomen nausea vomiting The fever will persist even after taking antibiotics. [healthline.com]
The first, most frequent, type of sepsis in children usually occurs without chills, with a high temperature of a constant nature. [minclinic.ru]
History A 28-year-old Caucasian male with past medical history significant for intravenous (IV) substance abuse presented to the emergency room complaining of a productive cough, chest pain, fever, chills, sweats, vomiting, and diarrhea for 4 days. [consultant360.com]
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Fever of Unknown Origin
We report the history of a 73-year-old man with fever of unknown origin (FUO) in whom laboratory tests, blood and urine cultures, chest X-ray, abdominal ultrasound, and Indium-111-leucocyte scintigraphy did not reveal the cause of the fever. [ncbi.nlm.nih.gov]
[…] of unknown origin following delivery ( O86.4 ) genital tract infection following delivery ( O86.1- ) obstetric pyemic and septic embolism ( O88.3- ) puerperal septic thrombophlebitis ( O86.81 ) urinary tract infection following delivery ( O86.2- ) Type [icd10data.com]
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Rigor
[…] ipsilateral jugular venous thrombosis) Venous contamination then acts as a nidus for septicemia and septic embolization Pulmonary septic emboli seen in as high as 90% in some series Patients may initially present with acute pharyngitis Followed by fever, rigors [learningradiology.com]
Gastrointestinal
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Lower Abdominal Pain
abdominal pain of variable intensity. [onlinejets.org]
abdominal pain, depending on which vessels are involved. [27] Lemierre syndrome Sore throat and fever are clues to the diagnosis of Lemierre syndrome, with both symptoms noted in more than 80% of patients. [emedicine.medscape.com]
Cardiovascular
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Homans' Sign
Thrombophlebitis Symptoms The condition is characterized by the following presenting signs and symptoms: Warmth, tenderness and pain in the area Redness and swelling are noted Positive Homan’s sign: Identification of this problem is by the patient’s foot [byebyedoctor.com]
Deep vein thrombophlebitis is characterized by aching or cramping pain, especially in the calf, when the patient walks or dorsiflexes the foot (Homans' sign). thrombophlebitis Phlebitis, phlebothrombosis Hematology A term that arose when DVT was thought [medical-dictionary.thefreedictionary.com]
Her calves were free from clubbing, and both Bancroft’s and the Homans signs were negative. [ncbi.nlm.nih.gov]
Psychiatrical
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Behavior Disorder
) Type 2 Excludes mental and behavioral disorders associated with the puerperium ( F53.- ) obstetrical tetanus ( A34 ) postpartum necrosis of pituitary gland ( E23.0 ) puerperal osteomalacia ( M83.0 ) Use Additional code from category Z3A, Weeks of [icd10data.com]
Workup
Workup revealed pylephlebitis due to an ileal abscess secondary to Crohn's disease. The patient was successfully treated with broad spectrum antibiotics and terminal small bowel and right colon resection. [ncbi.nlm.nih.gov]
She was initially diagnosed with pharyngitis and inadvertently had blood cultures sent as part of her workup. [scinapse.io]
X-Ray
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Mediastinal Mass
Cross sectional CT scans at different levels comparing the changes in mediastinal masses from day 1 (left) to day 4 (right). Scans revealed multiple new mediastinal abscesses on day 4. [consultant360.com]
Microbiology
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Mycoplasma Hominis
Mycoplasma hominis was recovered from the site of a septic thrombophlebitis on the left cephalic veins of a patient with pelvic and other multiple trauma. [ncbi.nlm.nih.gov]
Other Pathologies
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Pancreatic Necrosis
Common primary sources of infection are diverticulitis, appendicitis, and infected pancreatic necrosis. [ncbi.nlm.nih.gov]
Treatment
Treatment options are usually limited and effective treatment of infections caused by these pathogens is a considerable challenge for clinicians. [ncbi.nlm.nih.gov]
Prognosis
& symptoms, diagnosis, complications, treatment, prevention, prognosis, and additional useful information HERE. [dovemed.com]
Early diagnosis and treatment can improve the prognosis of this disease significantly. [link.springer.com]
High-dose parenteral antibiotics Anticoagulation Ligation or resection of the internal jugular vein on occasion Complications Pulmonary septic emboli Empyema Lung abscess Septic arthritis, osteomyelitis or hepatic abscesses through a patent foramen ovale Prognosis [learningradiology.com]
What are the symptoms, treatment, and prognosis for phlebitis? Pain, swelling, redness, and tenderness are some common symptoms of phlebitis. [medicinenet.com]
Prognosis The prognosis is usually good but the disease process will persist for three or four weeks or more. If it occurs in association with varicose veins there is a high risk of recurrence unless the vein is excised. [patient.info]
Etiology
This case represents a unique presentation of septic thrombophlebitis of the coronary sinus in that the infection was localized to the coronary sinus, the etiology was unclear, and the patient recovered uneventfully after surgery. [ncbi.nlm.nih.gov]
Etiology and Pathophysiology Similar to deep venous thrombosis; Virchow triad of vessel trauma, stasis, and hypercoagulability (genetic, iatrogenic, or idiopathic) Varicose veins play a primary role in etiology of lower extremity phlebitis. [unboundmedicine.com]
Incidences, pathology, etiology. Surgery 1951; 30: 298–307. PubMed Google Scholar 34. Collins CG. Suppurative pelvic thrombophlebitis: a study of 202 cases in which disease was treated by ligation of the vena cava and ovarian vein. [link.springer.com]
To discover the etiology of SPE, echocardiography was performed. It showed tricuspid endocarditis. He was also found, by MRI and CT scan, respectively, to have osteomyelitis in the cervical vertebra and pelvic bone and an abscess in the right thigh. [webview.isho.jp]
Epidemiology
Epidemiologic Risks Cannulating the vein, either for medical reason or the use of drugs. As if the two are different. [pusware.com]
Incidence and clinical epidemiology of necrobacillosis, including Lemierre’s syndrome, in Denmark 1990–1995.. Eur J Clin Microbiol Infect Dis 17 :, 561– – 565. [CrossRef] [Google Scholar] Huntington M.K., Sewall B.O.. ( 2007 ; ). [jmmcr.microbiologyresearch.org]
Infection Control & Hospital Epidemiology ISSN: 0899-823X EISSN: 1559-6834 URL: /core/journals/infection-control-and-hospital-epidemiology [cambridge.org]
The epidemiology of peripheral vein infusion thrombophlebitis: a critical review. Am J Med 2002; 113(2): 146–51. PubMed CrossRef Google Scholar 2. Chirinos JA, Lichtstein DM, Garcia J, et al. [link.springer.com]
Epidemiology Predominant age Traumatic/IV related has no predominant age/sex. [unboundmedicine.com]
Pathophysiology
There are a multitude of distinct clinical conditions that have been described previously, depending on which venous structure is involved, however the basic pathophysiology remains the same. [emcurious.com]
Mondor disease pathophysiology not completely understood Less commonly due to infection (i.e., septic) Staphylococcus aureus, Pseudomonas, Klebsiella, Peptostreptococcus sp. Candida sp. [unboundmedicine.com]
With the primary source of infection most likely being the skin abscess on the upper back, we postulated the most likely pathophysiology that lead to the patient’s condition ( Table ). [consultant360.com]
Neck radiographs revealed soft tissue gas and computed tomography conf... more Background Lemierre's syndrome presents a classic clinical picture, the pathophysiology of which remains obscure. [scinapse.io]
The complications of septic thrombophlebitis include sepsis, septicemia, septic pulmonary emboli, abscess formation, pneumonia Pathophysiology In the absence of a triggering event, neither venous stasis nor abnormal coagulability alone causes clinically [lymphedemapeople.com]
Prevention
Septic thrombophlebitis is best prevented by strict asepsis in catheter placement and rotation of infusion sites every 48 hours. Total excision of the infected vein remains the treatment of choice. [ncbi.nlm.nih.gov]
Take antibiotics as a preventive measure before and after any surgeries, including a cesarean delivery. Make sure to stretch your legs and move around after your cesarean delivery. [healthline.com]
High clinical suspicion and prompt imaging assessment with contrast-enhanced multidetector CT are necessary for correct diagnosis and staging, since early treatment prevents further complications such as systemic embolization. [onlinejets.org]
Evaluation and Monitoring 681 Antiretroviral Therapy 689 98 Immune Reconstitution Inflammatory Syndrome 699 99 Differential Diagnosis and Management of Opportunistic 707 100 Prophylaxis of Opportunistic Infections in HIV Infection 721 PART XIII 731 101 Prevention [books.google.com]
Doctors try to treat the infection, sustain the vital organs, and prevent a drop in blood pressure. Many patients receive oxygen and intravenous (IV) fluids. Other types of treatment, such as respirators or kidney dialysis, may be necessary. [icdlist.com]