Suppurative thrombophlebitis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2]
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, 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
- Sore throat
- Fever
- Rigors
- Localized neck pain
- Muscle pain
Common symptoms of portal vein thrombophlebitis (pylephlebitis) include:[4]
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.[5]
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) - ↑ 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.
- ↑ 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)