ISSN:
1615-5947
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Thrombosis of central veins has become more prevalent because of increased use of long-term central venous catheterization.Candida superinfection of the thrombus can occur particularly in patients on long-term antibiotic therapy and on parenteral nutrition. Removal of the catheter, thrombolytic therapy, anticoagulation, and antifungal therapy with amphotericin B will usually eradicate the candidemia and restore venous patency. Occasionally this therapeutic regimen fails. This case report illustrates such a failure in which multiple pulmonary emboli could have caused death. Surgical thrombectomy of the innominate vein effectively removed the source of theCandida sepsis and maintained patency of a major vein. Thrombectomy should be considered as a therapeutic option in septic central vein thrombosis.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF02002887
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