Villani C, Johnson D H, Cunha B A
Infectious Disease Division, Winthrop-University Hospital, Mineola, NY 11501, USA.
Heart Lung. 1995 Jul-Aug;24(4):342-4. doi: 10.1016/s0147-9563(05)80081-0.
Suppurative thrombophlebitis is an infection of the wall of a superficial vein, usually is associated with intravenous catheter placement, and accounts for about 10% of all nosocomial infections. Suppurative thrombophlebitis occurs most commonly in patients with burns, patients with cancer, and persons receiving steroids. Skin flora organisms (e.g., Staphylococcus aureus and to a lesser extent Enterobacteriaceae) are the most common pathogens. Suppurative thrombophlebitis should be suspected when a patient having phlebitis presents with a temperature of 102 degrees F or higher. The diagnosis of suppurative thrombophlebitis is usually straightforward and made by demonstration of pus coming from the wound of the removed intravenous device or by aspiration of pus percutaneously from the involved vein. Treatment of superficial suppurative thrombophlebitis consists of venotomy of the affected vessel and systemic antimicrobial therapy. We present a case of S. aureus bilateral suppurative thrombophlebitis, which is most unusual.
化脓性血栓性静脉炎是浅表静脉壁的一种感染，通常与静脉导管置入有关，约占所有医院感染的10%。化脓性血栓性静脉炎最常见于烧伤患者、癌症患者和接受类固醇治疗的人。皮肤菌群微生物（如金黄色葡萄球菌，其次是肠杆菌科）是最常见的病原体。当患有静脉炎的患者体温达到102华氏度或更高时，应怀疑化脓性血栓性静脉炎。化脓性血栓性静脉炎的诊断通常很直接，可通过证明从移除的静脉装置伤口流出脓液或经皮从受累静脉抽吸脓液来确诊。浅表性化脓性血栓性静脉炎的治疗包括对受影响血管进行静脉切开术和全身抗菌治疗。我们报告一例非常罕见的双侧金黄色葡萄球菌化脓性血栓性静脉炎病例。
