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Phlebology 2020 Jun 24:268355520935744. Epub 2020 Jun 24.

Department of Vascular Surgery, St. Josef Hospital Bochum, Katholisches Klinikum Bochum, Ruhr University Bochum, Germany.

Objectives: Advanced phlegmasia cerulea dolens can be a hazardous complication of a deep vein thrombosis and rapid recanalization of the deep venous system is the most important factor.

Method: We describe the outcome of 17 patients with critical limb ischemia due to an advanced phlegmasia cerulea dolens. Venous thrombectomy was performed by a standardized operating procedure. Read More

J Ultrasound 2020 Jun 23. Epub 2020 Jun 23.

Radiodiagnostic and Radiotherapy Unit, Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", Via Santa Sofia 78, 95123, Catania, Italy.

May-Thurner syndrome (MTS) is a congenital vascular alteration that is part of a restricted category of very rare vascular syndromes that have in common the compression of an arterial or venous vessel. MTS, first described in 1957, is due to compression of the left common iliac vein against the lumbar spine by the adjacent common iliac artery. It can cause chronic thrombosis of the left lower limb and can give edema, pain, claudication, thrombophlebitis, and, in severe cases, pulmonary embolism. Read More

Cureus 2020 Apr 22;12(4):e7787. Epub 2020 Apr 22.

Infectious Disease, State University of New York (SUNY) Upstate Medical University, Syracuse, USA.

Lemierre's syndrome is a rare but life-threatening condition characterized by an oropharyngeal infection typically secondary to Fusobacterium necrophorum resulting in septic thrombophlebitis of the internal jugular vein. Streptococcus intermedius is a particularly rare cause of Lemierre's syndrome with only a few cases reported in the literature. Here we describe a rare case of Lemierre's syndrome, caused by Streptococcus intermedius, likely secondary to an odontogenic infection, found to have a cervical epidural abscess with concomitant large retropharyngeal and prevertebral abscesses on presentation, in whom the clinical course was further complicated by an extensive cerebral venous sinus thrombosis. Read More

Int J Cardiol 2020 May 20. Epub 2020 May 20.

Department of Cardiology, Cardiology I, University Medical Center Mainz (Johannes Gutenberg-University Mainz), Mainz, Germany.

Background: Pulmonary embolism (PE) is a frequent cause of death and morbidity. A few studies suggest that clot burden in pulmonary artery bed is related to PE patients' survival, but the impact of concomitant deep venous thrombosis and/or thrombophlebitis (DVT) on short-term survival of PE patients remains unclear. Thus, we aimed to investigate the impact of DVT on adverse outcomes in PE patients. Read More

J Vasc Surg Venous Lymphat Disord 2020 Apr 27. Epub 2020 Apr 27.

Department of Surgery, Stony Brook Medicine, Stony Brook, NY. Electronic address:

Background: Initial phase III clinical studies with polidocanol endovenous microfoam (PEM) demonstrated its safety and efficacy in the treatment of superficial venous reflux. In those studies, the primary outcome requirement was to assess the improvement in symptoms related to superficial venous disease. The goal of the present study was to evaluate the efficacy of PEM technology in routine clinical practice-specifically, the closure rates after treatment. Read More

Internist (Berl) 2020 Jun;61(6):617-620

Krankenhaus Bad Waldsee, Oberschwabenklinik gGmbH, Robert-Koch-Straße 38, 88339, Bad Waldsee, Deutschland.

The case of a 72-year-old female patient with exanthem and concomitant neuropathy of the instep of the foot and progressive ipsilateral lower leg pain is reported. Sonographically, a superficial vein thrombosis with extension into the deep venous system originating from the exanthem was observed. On the basis of the clinical picture as well as the serological and electrophysiological findings, a rare diagnosis of acrodermatitis chronica atrophicans with peripheral neuropathy was made, which could significantly promote the local development of venous thrombosis. Read More

J Arthroplasty 2020 Mar 21. Epub 2020 Mar 21.

Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.

Background: Nonagenarians and centenarians are among the fastest growing demographics in the United States. Although consequent demand for joint replacement is projected to rise precipitously, outcomes of total hip arthroplasty (THA) have seldom been studied in this population.

Methods: A retrospective cohort of patients undergoing primary THA was established using the 2008-2017 American College of Surgeons National Quality Improvement Program. Read More

J Vasc Surg Venous Lymphat Disord 2020 Mar 20. Epub 2020 Mar 20.

Department of Statistics, Purdue University, West Lafayette, Ind.

Background: Insurance approval for saphenous vein ablation is generally limited to junctional reflux involving the great saphenous vein (GSV) or small saphenous vein. This study was designed to investigate prevalence and disease severity of anterior accessory GSV (AAGSV) compared with GSV disease in patients presenting to dedicated outpatient vein centers.

Methods: Deidentified data were pulled from the American Vein & Lymphatic Society PRO Venous Registry for first and second patient encounters. Read More

Dtsch Arztebl Int 2020 02;116(8):125

Int J Surg Case Rep 2020 19;68:170-173. Epub 2020 Feb 19.

Department of Pathology, Pt. B D Sharma PGIMS, Rohtak, India. Electronic address:

Introduction: Respiratory distress is an uncommon clinical event after caesarean section and occurs due to pulmonary thromboembolism. Various causes of pulmonary thromboembolism are thrombophlebitis, ovarian venous thrombosis and mesenteric vein thrombosis.

Presentation Of Case: We report a case of 30 year old female who presented with respiratory distress after eight days of uneventful caesarian section. Read More

Cardiovasc Res 2020 Mar 6. Epub 2020 Mar 6.

Population Health Research Institute, Hamilton, Ontario, Canada.

Aim: To examine the rates of VTE in high-income, upper middle-income and lower middle/low-income countries (World Bank Classification).

Methods And Results: We examined the rates of VTE in high-income, upper middle-income and lower middle/low-income countries (World Bank Classification) in a cohort derived from four prospective international studies (PURE, HOPE-3, ORIGIN, COMPASS). The primary outcome was a composite of pulmonary embolism, deep vein thrombosis and thrombophlebitis. Read More

Georgian Med News 2020 Jan(298):13-16

Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine.

Acute thrombophlebitis of the superficial veins is an urgent problem as it can spread to the deep veins with the subsequent development of pulmonary embolism. The social implications of varicotrombophlebitis are the long-term disability of most patients up to complete disability, so finding the least invasive methods of correction of the discussed disease is a pressing issue of modern phlebology. The research objective is to carry out a comparative analysis of the quality of life of patients with acute ascending thrombophlebitis of the great sapheneous vein after treatment with high-frequency endovenous welding and standard phlebectomy. Read More

Int J Infect Dis 2020 May 29;94:110-115. Epub 2020 Feb 29.

Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Rome, Italy. Electronic address:

Background: Data on septic thrombosis caused by Gram-negative bacilli (GN-ST) in intensive care unit (ICU) patients are currently limited.

Methods: The aim of this retrospective case-control study (matched 1:3) performed over a 15-month period on ICU patients with bacteraemia, associated (cases) or not (controls) with GN-ST, was to assess 30-day mortality and clinical/microbiological features of GN-ST.

Results: During the study period, 16 patients with GN-ST and 48 controls were analyzed. Read More

Case Rep Gastrointest Med 2020 13;2020:3918080. Epub 2020 Feb 13.

Internal Medicine, University of South Dakota Sanford School of Medicine, Vermillion, SD 57069, USA.

Pylephlebitis is a condition in which there is septic thrombophlebitis of the portal-mesenteric venous system. It is a rare condition that usually arises as a complication of an intra-abdominal infection or inflammation. Being rare, it may be overlooked as a differential in cases of abdominal pain when the more common causes have been excluded. Read More

Cureus 2020 Jan 15;12(1):e6665. Epub 2020 Jan 15.

Internal Medicine, Dow University of Health Sciences, Karachi, PAK.

Protein C (PC) and protein S (PS) are natural anticoagulants that protect the body against thrombosis, and their deficiency, either inherited or acquired, renders the body to a hypercoagulable state. This leads to venous thromboembolism manifesting as thrombosis, pulmonary embolism and superficial thrombophlebitis among other causes. The involvement of arteries is rare and has been explained by only a few studies. Read More

Blood 2020 Apr;135(16):1377-1385

Department of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, The Netherlands.

The diagnosis of recurrent ipsilateral deep vein thrombosis (DVT) is challenging, because persistent intravascular abnormalities after previous DVT often hinder a diagnosis by compression ultrasonography. Magnetic resonance direct thrombus imaging (MRDTI), a technique without intravenous contrast and with a 10-minute acquisition time, has been shown to accurately distinguish acute recurrent DVT from chronic thrombotic remains. We have evaluated the safety of MRDTI as the sole test for excluding recurrent ipsilateral DVT. Read More

Am J Case Rep 2020 Feb 2;21:e916575. Epub 2020 Feb 2.

Clinical Pharmacology and Therapeutics Department of General Medicine, Hamad General Hospital, Doha, Qatar.

BACKGROUND Lemierre's syndrome is a potential life-threatening disease commonly occurring in young, healthy individuals. It is often preceded by an oropharyngeal infection causing bacteremia. This may rapidly progress into thrombophlebitis of the internal jugular venous system, its branches, and septic embolization and often fulminant organ failure. Read More

J Ayub Med Coll Abbottabad 2019 Oct-Dec;31(Suppl 1)(4):S641-S645

Department of Vascular Surgery,Combined Military Hospital Rawalpindi, Pakistan.

Background: Ultrasound guided foam sclerotherapy is an outdoor, office based and minimally invasive procedure for the treatment of varicose veins. This study was carried out to highlight the potential of foam sclerotherapy as a first line treatment for varicose vein.

Methods: This prospective observational study was conducted at CMH Rawalpindi, form 1 Aug 2017 to 30 Aug 2018The demographic and outcome data of the patients, who underwent ultrasound guided foam sclerotherapy, were collected and analysed. Read More

J Vasc Surg Venous Lymphat Disord 2020 Jan 6. Epub 2020 Jan 6.

Department of Interventional Radiology, Fourth Affiliated Hospital, Jiangsu University, Jiangsu, China.

Objective: In foam sclerotherapy for varicose veins, ultrasound can track the spread of foam in only one direction. We hypothesized that using fluoroscopy in combination with ultrasound can reveal the spread of foam to deep veins through perforator veins and to other varicose veins in different directions. In this study, we examined the safety and effectiveness of ultrasound- and fluoroscopy-guided foam sclerotherapy for lower extremity venous ulcers. Read More

Clin Rheumatol 2020 Apr 18;39(4):1223-1228. Epub 2019 Dec 18.

Faculty of Behavioral, Management and Social Sciences, Department Psychology, Health and Technology, University of Twente, Enschede, The Netherlands.

To describe the pattern of pulmonary artery vasculitis and the characteristic computed tomographic pulmonary angiography (CTPA) signs in patients with Hughes-Stovin syndrome (HSS). In a retrospective study, the medical records of eight HSS patients (six men), seen between February 2008 and January 2018, were reviewed regarding history, disease characteristics, laboratory investigations, imaging, and treatments. The mean (SD) age was 37. Read More

BMJ Case Rep 2019 Dec 15;12(12). Epub 2019 Dec 15.

Research Center, King Fahad Medical City, Riyadh, Saudi Arabia.

Mondor's disease (MD) is a rare disease characterised by thrombophlebitis of superficial veins in the body. We describe a case of a 28-year-old woman with a painful cord-like lesion of the right breast (3 cm) overlying the right upper quadrant. The patient was recently prescribed metformin and oral contraceptive pills for symptomatic polycystic ovarian syndrome. Read More

Recenti Prog Med 2019 Nov;110(11):543-547

UOC di Pediatria e Neonatologia, Ospedale di Ravenna, AUSL della Romagna.

A healthy 16-year-old boy was hospitalized for fever, septic condition and thrombosis of the left internal jugular vein: The diagnosis of Lemierre syndrome (LS) with positive blood culture for Fusobacterium necrophorum was formalized. He was treated with antibiotics and anticoagulant therapy with enoxaparin with complete recovery. Four weeks after discharge, the jugular vein ecodoppler showed complete resolution of the thrombosis. Read More

J Vasc Bras 2019 Nov 20;18:e20180105. Epub 2019 Nov 20.

Universidade Estadual Paulista - UNESP, Faculdade de Medicina de Botucatu, Botucatu, SP, Brasil.

Superficial venous thrombosis (SVT) or superficial thrombophlebitis is characterized by thrombi within superficial veins, with partial involvement or occlusion of the lumen and inflammatory reaction along the course of the vein. Clinical diagnosis tends to be straightforward, but supplementary tests and examinations are needed to confirm thrombosis extension and possible thromboembolic complications. SVT can be associated with deep venous thrombosis in 6 to 40% of cases, with asymptomatic pulmonary embolism (PE) in 20 to 33%, and with symptomatic PE in 2 to 13%. Read More

J Vasc Surg Cases Innov Tech 2019 Dec 22;5(4):532-534. Epub 2019 Nov 22.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Emory University School of Medicine, Atlanta, Ga.

Radiofrequency ablation has become one of the most commonly used interventions in the treatment of chronic venous insufficiency. It is performed with minimal analgesic use, tolerable postprocedural pain, and prompt return to activities of daily living. Typical complications, though rare, include failure of total venous occlusion, deep venous thrombosis, skin hyperpigmentation, infection, and skin burn. Read More

Infect Dis (Lond) 2020 03 21;52(3):143-151. Epub 2019 Nov 21.

Department of Laboratory Medicine, AZ Delta Hospital, Roeselare, Belgium.

Despite its clear definition, Lemierre's syndrome is frequently used to describe any septic thrombophlebitis of the jugular vein. We report a Lemierre-like syndrome caused by without an oropharyngeal infection and present a systematic synthesis of reported cases to date of Lemierre-like syndrome caused by . In addition to our case, 24 cases were found. Read More

Br J Oral Maxillofac Surg 2019 12 8;57(10):1153-1155. Epub 2019 Nov 8.

Great Ormond Street Hospital. Electronic address:

Lemierre syndrome, also known as Lemierre's disease is a rare condition that was first described by Andre Lemierre in 1936. We present a case of a 3-year-old boy who presented with ankylosis of the right temporomandibular joint (TMJ) secondary to a mastoid infection as part of Lemierre syndrome. His ankylosis resulted in restricted mouth opening, which had a considerable impact on his speech and ability to eat. Read More

BMC Infect Dis 2019 Oct 21;19(1):868. Epub 2019 Oct 21.

Service of Infectious Diseases, Department of Medicine, Geneva University Hospitals and the University of Geneva, 4 Rue Gabrielle-Perret-Gentil, 1211, Geneva 14, Switzerland.

Background: The classic Lemierre's syndrome refers to a septic thrombosis of the internal jugular vein, usually caused by a Fusobacterium necrophorum infection starting in the oral cavity, and typically complicated by pulmonary emboli. However, unusual forms of the disorder have been rarely reported.

Case Presentation: We describe an unusual case of a previously healthy 58-year-old male with Lemierre's syndrome, manifesting with lumbar pain and fever. Read More

Khirurgiia (Mosk) 2019 (10):50-54

Medical Innovative Phlebology Center, Moscow, Russia.

Objective: To study the results of endovenous laser obliteration (EVLO) for acute thrombophlebitis of saphenous veins of the lower extremities.

Material And Methods: There were 57 patients (39 (68%) men and 18 (32%) women), mean age of patients was 54±20 years (range 34-74) with acute ascending thrombophlebitis of varicose superficial veins of the lower extremities (type I and II). EVLO of great saphenous vein was performed in 48 cases, small saphenous vein - in 9 patients. Read More

BMC Surg 2019 Oct 16;19(1):145. Epub 2019 Oct 16.

Department of Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 327, Sosa-ro, Bucheon-si, Gyeonggi-do, 14647, South Korea.

Background: Retroperitoneal abscess (RA) is an unusual life-threatening disease that has insidious and occult presentations. Although the incidence of this disease is low, diagnosis and treatment are challenging due to its nonspecific presentation and the complex anatomy of the retroperitoneal space. Recently, we experienced one case of a RA with extensive thrombophlebitis of the portal venous system. Read More

Am J Med 2020 04 10;133(4):473-484.e3. Epub 2019 Oct 10.

Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore. Electronic address:

Background: The acceptable incidence of thrombophlebitis following intravenous cannulation is 5%, as recommended by the Intravenous Nurses Society guidelines, but publications have reported startling figures of 20% to 80%. Given the frequency of intravenous lines, this presents a potential clinical problem. We aimed to determine the predisposing patient, catheter, and health care-related factors of peripheral vein thrombophlebitis in the upper extremity. Read More

Dtsch Med Wochenschr 2019 10 8;144(20):1449-1454. Epub 2019 Oct 8.

Medizinische Klinik I, UKSH-Campus Lübeck, Lübeck, Deutschland.

History And Clinical Findings: We report the case of a 30 years old man presenting with cough and a sore throat. The physical examination showed a painful neck, a scleral icterus, inflammation of the posterior pharyngeal wall and tonsils.

Investigations: Initial laboratory studies revealed an increase in white blood cells, a pronounced reduction of platelets, an elevated CRP and renal failure. Read More

Hosp Pract (1995) 2019 Oct 28;47(4):192-195. Epub 2019 Sep 28.

Jefferson Vascular Center, Thomas Jefferson University Hospitals, Philadelphia, PA, USA.

Pylephlebitis is a rare condition that is characterized by an infected thrombus of the portal vein system and was traditionally associated with a high mortality rate prior to the introduction of antibiotics. This report details a 77-year-old Chinese male found to have a splenic vein thrombosis, bacteremia, and a polymicrobial splenic abscess. The patient was treated with abscess drainage and a 6 week course of intravenous antibiotics, and a direct oral anticoagulant, apixaban 2. Read More

Intern Emerg Med 2019 11 18;14(8):1339-1340. Epub 2019 Sep 18.

Department of Emergency Medicine, Chi-Mei Medical Center, 901 Zhonghua Road, Yongkang District, Tainan, 710, Taiwan.

Intractable Rare Dis Res 2019 Aug;8(3):206-209

Venous thromboembolism Unit, Department of Internal Medicine, University General Hospital Gregorio Marañón, Madrid, Spain.

Lemièrre's syndrome (LS) is an uncommon disease characterized by septic thrombophlebitis of the jugular vein in the context of otorhinolaryngologic infections. These patients are often young and the pharyngotonsillar infection is the most frequent primary focus, but other foci like acute otitis media or otomastoiditis have been described. Although the internal jugular vein is the most commonly affected site, a few case reports have been published with thrombosis of other veins, such as the facial vein or transverse sinus. Read More

J Vasc Surg Venous Lymphat Disord 2019 11 5;7(6):860-864. Epub 2019 Sep 5.

Department of Surgery, Division of Vascular and Endovascular Surgery, UCLA Medical Center, Los Angeles, Calif.

Objective: Lower extremity venous aneurysms may lead to serious morbidity in patients, including pulmonary embolism (PE) and chronic venous insufficiency. Presently, because of the low incidence of these aneurysms, no consensus for their treatment exists. The purpose of this study was to review the presentation and management of lower extremity venous aneurysms at our institution. Read More

Am J Gastroenterol 2019 09;114(9):1414

Department of Medicine, Aga Khan University, Karachi, Pakistan.

Rozhl Chir 2019 ;98(8):326-327

Introduction: The umbilical vein can become recanalised due to portal hypertension in patients with liver cirrhosis but the condition is rarely clinically significant. Although bleeding from this enlarged vein is a known complication, the finding of thrombophlebitis has not been previously described.

Case Report: We report the case of a 62-year-old male with a history of liver cirrhosis due to alcoholic liver disease presenting to hospital with epigastric pain. Read More

World J Clin Cases 2019 Aug;7(15):2103-2109

Department of Cardiology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing 210008, Jiangsu Province, China.

Background: Venous thrombosis (VT) is one of the minor complications of pacemaker lead extraction. It is often found due to the swelling of the limbs after the extraction. It is easy to be neglected or even misdiagnosed in the absence of typical clinical symptoms. Read More

Rofo 2020 Jan 1;192(1):74-76. Epub 2019 Aug 1.

Department of Radiology, University Hospital Gießen, Gießen, Germany.

Phlebology 2020 May 27;35(4):281-287. Epub 2019 Jul 27.

Division of Vascular Surgery - Villa del Sole, Salerno, Italy.

Laryngorhinootologie 2019 Oct 19;98(10):715-717. Epub 2019 Jul 19.

Am J Emerg Med 2019 10 2;37(10):1992.e5-1992.e6. Epub 2019 Jul 2.

Department of Emergency Medicine, Hiroshima Citizens Hospital, Japan.

ORL J Otorhinolaryngol Relat Spec 2019;81(4):234-239. Epub 2019 Jul 17.

School of Medicine, Fundación Universitaria de Ciencias de la Salud (FUCS), Hospital de San José, Bogotá, Colombia.

Lemierre's syndrome is an infrequent disease characterized by septic thrombosis of the internal jugular vein followed by pulmonary embolism generally occurring after upper respiratory and gastrointestinal tract infections. We present the case of a 15-year-old female patient with postseptal cellulitis and cervical abscess who developed pulmonary embolism and pleural effusion secondary to internal jugular vein thrombosis. Cultures were positive for Streptococcus anginosus, antibiotic treatment was established with satisfactory clinical outcome. Read More

Inflammopharmacology 2019 Oct 15;27(5):863-869. Epub 2019 Jul 15.

Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.

The failure of mechanisms of natural anti-coagulation either due to genetic impairment or due to severe external injuries may result in a condition called thrombosis. This is believed to be the primary cause for a variety of life-threatening conditions such as: heart attack, stroke, pulmonary embolism, thrombophlebitis, and deep venous thrombosis (DVT). The growing number of these incidents requires an alternative anti-coagulant or anti-thrombotic agent that has minimal side effects and improved efficiency. Read More

Ned Tijdschr Geneeskd 2019 06 17;163. Epub 2019 Jun 17.

Amsterdam UMC, locatie VUmc, afd. Interne Geneeskunde, Amsterdam.

A paraneoplastic syndrome is a phenomenon or complex of symptoms that can occur with malignancy, without this being the result of tumour cells in the affected area. In this article, we describe the following paraneoplastic syndromes: thrombophlebitis migrans, clubbing, pemphigus, acanthosis nigricans, blue fingers, dermatomyositis, and myasthenia gravis. Read More

Indian Pediatr 2019 06;56(6):463-467

Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India. Correspondence to: Dr Ramesh Agarwal, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi 110 029, India.

Objective: To compare the prevalence of vitamin K deficiency after intramuscular vitamin K or no treatment in neonates with sepsis on prolonged (>7 days) antibiotic therapy.

Study Design: Open label randomized controlled trial.

Setting: Level 3 Neonatal Intensive Care Unit (NICU). Read More

Am J Case Rep 2019 Jun 23;20:886-895. Epub 2019 Jun 23.

Department of Rheumatology, Saitama Medical Center, Jichi Medical University, Saitama City, Saitama, Japan.

BACKGROUND Systemic vasculitides constitute heterogenous conditions affecting many organs and systems through blood vessel inflammation. Although there are some classifications for vasculitis, several vasculitides are "unclassified" because they cannot be clearly assigned to one of the known entities. CASE REPORT We report an autopsy case of a 67-year-old Japanese man who presented with fever, ocular pain, erythema, chest pain, and headache. Read More

J Emerg Med 2019 Jun;56(6):709-712

Department of Emergency Medicine, University of California, San Diego, California.

Background: Lemierre's syndrome is classically precipitated by oropharyngeal infections that progress to suppurative internal jugular vein thrombophlebitis via direct extension. Metastatic pneumonia from septic emboli is nearly universal and bacterial seeding frequently results in disseminated septic foci. Fusobacterium necrophorum is the most commonly reported etiologic agent, though methicillin-resistant Staphylococcus aureus (MRSA) is an emerging pathogen and a myriad of oropharyngeal flora must be covered until blood cultures return. Read More

Ann Vasc Surg 2019 Oct 13;60:479.e1-479.e4. Epub 2019 Jun 13.

Department of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.

Septic thrombophlebitis is a rare diagnosis in this era of widespread antibiotic usage. The clinical diagnosis requires astute clinical suspicion and evaluation. We describe an asplenic 63-year-old woman who presented to the emergency department with a 24-hour history of a tender, swollen, right neck and upper chest wall. Read More