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    Interobserver Reliability of Histopathologic Features for Distinguishing Between Cutaneous Polyarteritis Nodosa and Superficial Thrombophlebitis.
    Histopathology 2018 Apr 19. Epub 2018 Apr 19.
    Department of Pathology, Faculty of Medicine Siriraj Hospital Mahidol University, Bangkok, Thailand.
    Aims: Interobserver reliability of histopathologic features in differentiation between cutaneous polyarteritis nodosa (cPAN) and superficial thrombophlebitis (ST) by assessment of inter-rater agreement of five histologic features were investigated.

    Methods And Results: All sections of cPAN and ST were independently evaluated by three experienced pathologists and one resident of pathology. The studied histopathologic features included elastic fiber distribution in vascular wall, pattern of smooth muscle arrangement, internal elastic lamina pattern, fibrinoid necrosis, and luminal thrombosis. Read More

    Multidetector CT of iatrogenic and self-inflicted vascular lesions and infections at the groin.
    Insights Imaging 2018 Apr 19. Epub 2018 Apr 19.
    Department of Radiology, "Magna Grecia" University, Viale Europa, 88100, Catanzaro, Italy.
    The number and complexity of endovascular procedures performed via either arterial or venous access are steadily increasing. Albeit associated with higher morbidity compared to the radial approach, the traditional common femoral artery remains the preferred access site in a variety of cardiac, aortic, oncologic and peripheral vascular procedures. Both transarterial and venous cannulation (for electrophysiology, intravenous laser ablation and central catheterisation) at the groin may result in potentially severe vascular access site complications (VASC). Read More

    [Phlebological emergencies].
    Hautarzt 2018 Apr 10. Epub 2018 Apr 10.
    Universitäts-Hautklinik Tübingen, Liebermeisterstr. 25, 72076, Tübingen, Deutschland.
    Background: Deep and superficial vein thromboses as well as variceal hemorrhages are emergencies. The risk of short- and long-term morbidity and mortality in vein thromboses is increased. Variceal hemorrhage harbors the risk of massive blood loss. Read More

    Extended-Duration Treatment of Superficial Vein Thrombosis of the Lower Limbs with Tinzaparin.
    Vasc Specialist Int 2018 Mar 31;34(1):1-9. Epub 2018 Mar 31.
    Department of Vascular Surgery, University Hospital of Patras, Patras, Greece.
    Purpose: To identify risk factors for recurrent thromboembolic events (RTEs) and define the optimum duration of treatment with tinzaparin in patients with superficial vein thrombosis (SVT) of the lower limbs.

    Materials And Methods: A total of 147 consecutive patients with significant SVT were treated with subcutaneously administered tinzaparin. The composite primary endpoint of the study was RTE, deep-vein thrombosis (DVT) and/or pulmonary embolism (PE) at 120 days. Read More

    Clinical outcomes after colopexy through left ventral paramedian incision in 156 thoroughbred broodmares with large colon disorders (1999-2015).
    Vet Surg 2018 Apr 6. Epub 2018 Apr 6.
    Rood and Riddle Equine Hospital, Lexington, Kentucky.
    Objective: To describe a technique for colopexy via a left ventral paramedian incision and report postoperative clinical outcomes.

    Study Design: Retrospective case series.

    Animals: One hundred fifty-six thoroughbred broodmares treated with a colopexy through a left ventral paramedian incision between 1999 and 2015. Read More

    A Case of Postpartum Ovarian Vein Thrombosis.
    Cureus 2018 Feb 1;10(2):e2134. Epub 2018 Feb 1.
    Department of Hematology and Oncology, Fairview Hospital, Cleveland Clinic, USA.
    Ovarian vein thrombosis (OVT) is an rare condition, which can present in the postpartum period. We present a case of a 35-year-old female who presented with right lower quadrant pain and fever. Her computed tomography (CT) abdomen revealed a dilated right ovarian vein with soft tissue attenuation material in its lumen that extended into the inferior vena cava, along with fat stranding of the surrounding soft tissues signifying thrombophlebitis. Read More

    Efficacy and safety of pulsatile gonadotropin-releasing hormone therapy among patients with idiopathic and functional hypothalamic amenorrhea: a systematic review of the literature and a meta-analysis.
    Fertil Steril 2018 Apr 28;109(4):708-719.e8. Epub 2018 Mar 28.
    Department of Reproductive Endocrinology, Alexandra Hospital, University of Athens, Athens, Greece.
    Objective: To systematically review and appraise the existing evidence in relation to the efficacy and safety of pulsatile gonadotropin-releasing hormone (pGnRH) for the treatment of women with hypothalamic amenorrhea (HA).

    Design: Systematic review and meta-analysis.

    Setting: Not applicable. Read More

    Postpartum septic pelvic thrombophlebitis after caesarean delivery: a case report.
    Case Rep Womens Health 2018 Jan 10;17:5-7. Epub 2018 Mar 10.
    Department of Gynecology and Obstetrics - Centro Hospitalar de Setúbal, EPE, Rua Camilo Castelo Branco, 2910-446 Setúbal, Portugal.
    Septic pelvic thrombophlebitis is a rare puerperal complication. It is an important differential diagnosis of postpartum fever and abdominal pain and although the condition is well known its diagnosis can be challenging. We report a case of a 41-year-old woman with fever and right abdominal pain three days after an uncomplicated caesarean delivery. Read More

    Subchondral stem cell therapy versus contralateral total knee arthroplasty for osteoarthritis following secondary osteonecrosis of the knee.
    Int Orthop 2018 Mar 27. Epub 2018 Mar 27.
    Hôpital Henri Mondor, 94010, Creteil, France.
    Purpose: Total knee arthroplasty (TKA) implanted in patients with secondary osteonecrosis (ON) related to corticosteroids have relatively poor outcome (20% revision rate) at a mean follow-up of only eight years. With the hypothesis that subchondral bone marrow injection might improve knees in these patients, we evaluated 30 patients who had bilateral knee osteoarthritis with severe joint space narrowing and received TKA in one knee and subchondral bone marrow concentrate injection in the contralateral knee.

    Material And Methods: A prospective randomized controlled clinical trial was carried out in 60 knees of 30 patients (mean age 28 years, 18-41) who presented bilateral osteoarthritis secondary to knee ON related to corticosteroids in relation with different severe medical conditions. Read More

    Lemierre's syndrome following perianal abscess: A case report.
    Int J Surg Case Rep 2018 Mar 16;45:51-55. Epub 2018 Mar 16.
    Department of Otolaryngology, Head and Neck Surgery, Imperial College Healthcare NHS Trust, St Mary's Hospital, Praed Street, London, W2 1NY, UK.
    Introduction: Lemierre's syndrome (LS) is a rare and life-threatening condition characterized by suppurative thrombophlebitis of the internal jugular vein (IJV), and a history of head and neck (H&N) sepsis. LS is usually caused by Fusobacterium necrophorum, which is part of the normal flora in the oro-pharynx, and the digestive and urogenital tracts. We here report the first case of LS following perianal sepsis. Read More

    Unique Complications of Percutaneous Endoscopic Lumbar Discectomy and Percutaneous Endoscopic Interlaminar Discectomy.
    Pain Physician 2018 Mar;21(2):E105-E112
    University of California Davis Medical Center, Sacramento, CA.
    Background: Percutaneous endoscopic discectomy (PED) includes 2 main procedures: percutaneous endoscopic lumbar discectomy (PELD) and percutaneous endoscopic interlaminar discectomy (PEID), both of which are minimally invasive surgical procedures that effectively deal with lumbar degenerative disorders. Because of the challenging learning curve for the surgeon and the individual characteristics of each patient, preventing and avoiding complications is difficult. The most common complications, such as nucleus pulposus omission, nerve root injury, dural tear, visceral injury, nerve root induced hyperalgesia or burning-like nerve root pain, postoperative dysesthesia, posterior neck pain, and surgical site infection, are difficult to avoid; however, more focus on these issues perioperatively may be in order. Read More

    Minimization of skin incisions at stripping by Mayo of large-diameter veins.
    Int Angiol 2018 Mar 15. Epub 2018 Mar 15.
    Department of Surgery and Urology, Omsk State Medical University, Omsk, Russia -
    Background: To study the possibility of minimization of the skin incisions up to a puncture size at stripping by Mayo with the use of the stripper with an oval-ring head for large-diameter veins.

    Methods: The problem is solved due to the geometrical changing of the stripper head from a round to an oval one. The laboratory experiment showed that with a vein diameter of 10-20 mm the total cross-sectional area of its walls constituted 13. Read More

    Myelodysplastic syndrome presenting as a Behçet's-like disease with aortitis.
    BMJ Case Rep 2018 Mar 15;2018. Epub 2018 Mar 15.
    Division of Rheumatology, Department of Medicine, NYU School of Medicine, New York, USA.
    A 46-year-old Hispanic man presented with fever, genital ulcers, left eye redness and chest pain. Physical examination was notable for a healed oral ulcer and scrotal ulcers, and bilateral superficial thrombophlebitis. He was found to have new-onset pancytopenia. Read More

    Cutaneous Adverse Reactions of Chemotherapy in Cancer Patients: A Clinicoepidemiological Study.
    Indian J Dermatol 2018 Jan-Feb;63(1):41-46
    Department of Dermatology, Venereology and Leprosy, S. P. Medical College, Bikaner, Rajasthan, India.
    Background: The diagnosis of cutaneous adversities in the cancer patient is especially difficult, given the complexity of their illness and combination protocols used for the treatment. The present study was undertaken to know the spectrum of cutaneous adversities in patients undergoing chemotherapy and the drug(s) most commonly associated with it.

    Materials And Methods: A total of 1000 patients with malignancies under chemotherapy in the oncology ward and outpatient department were screened in this observational study from January 2013 to February 2015. Read More

    A Prospective Cohort Study of Symptomatic Venous Thromboembolic Events in Foot and Ankle Trauma: The Need for Stratification in Thromboprophylaxis?
    J Foot Ankle Surg 2018 Mar 1. Epub 2018 Mar 1.
    Consultant Orthopaedic Surgeon, Trauma and Orthopaedic Department, Leicester Royal Infirmary, Leicester, UK.
    The incidence of venous thromboembolic (VTE) events (deep vein thrombophlebitis [DVT] or pulmonary embolism [PE]) in foot and ankle trauma has been low, and the risk/benefit ratio associated with chemoprophylaxis is controversial. We compared the 90-day incidence of VTE events in 3 cohorts: group 1, tendo-Achillis (TA) ruptures managed with full weightbearing in a walker boot; group 2, ankle fractures immobilized non-weightbearing in a below-the-knee cast; and group 3, ankle fractures managed surgically, followed by non-weightbearing in a below-the-knee cast. Data were extracted from 2 prospectively collected trust databases for acute TA ruptures and ankle fractures. Read More

    [Disseminated actinomycosis with central nervous system involvement].
    Rev Chilena Infectol 2017 Dec;34(6):598-602
    Hospital Militar Central Bogotá, Colombia.
    Actinomycosis is very rare, as well as the central nervous system (CNS) condition associated with it, presenting a mortality up to 28%. Its manifestations could be similar to infectious conditions from other etiologies, thus, having a better understanding of the entity increases clinical suspicion and also it can provide a timely treatment. The clinical case of an adult with edema in an upper extremity is presented as a manifestation of thrombophlebitis and an abscessed axillary lesion, in which actinomycetes infection was confirmed. Read More

    Evaluation of patients with orbital infections.
    Turk Pediatri Ars 2017 Dec 1;52(4):221-225. Epub 2017 Dec 1.
    Istanbul University, Cerrahpaşa Medical Faculty, Department of Pediatrics, Division of Immunology-Allergy and Infectious Diseases, Istanbul, Turkey.
    Aim: Orbital tissue infections are common infections of childhood that can lead to severe complications. Herein, we aimed to evaluate the etiologic factors, diagnosis, follow-up, and treatment procedures in pediatric patients with orbital infections.

    Material And Methods: This study was performed retrospectively between January 2014 and December 2015 in Cerrahpasa Medical Faculty Pediatric Infectious Disease Unit. Read More

    Treatment for superficial thrombophlebitis of the leg.
    Cochrane Database Syst Rev 2018 02 25;2:CD004982. Epub 2018 Feb 25.
    Department of Medicine and Ageing Sciences, University "G. D'Annunzio" of Chieti-Pescara, Via dei Vestini 31, Chieti Scalo, Italy, 66013.
    Background: The optimal treatment of superficial thrombophlebitis (ST) of the legs remains poorly defined. While improving or relieving the local painful symptoms, treatment should aim at preventing venous thromboembolism (VTE), which might complicate the natural history of ST. This is the third update of a review first published in 2007. Read More

    Outpatient parenteral antibiotic therapy in a suburban tertiary referral centre in Australia over 10 years.
    Infection 2018 Feb 20. Epub 2018 Feb 20.
    Department of Infectious Diseases, Nepean Hospital, Sydney, Australia.
    Purpose: Outpatient parenteral antibiotic therapy (OPAT) is a widely accepted and safe therapeutic option for carefully selected patients. This study reviewed the practice of an OPAT service in a large Australian tertiary teaching hospital in Western Sydney over a 10-year period.

    Method: Data were retrieved from a prospectively maintained electronic database which included information on patient demographics, clinical diagnosis, microbiological identity, antimicrobial therapy, complications and readmissions. Read More

    Comparison of Methicillin-resistant Versus Susceptible Staphylococcus aureus Pediatric Osteomyelitis.
    J Pediatr Orthop 2018 May/Jun;38(5):e285-e291
    School of Medicine, University of Alabama at Birmingham.
    Background: The incidence of methicillin-resistant Staphylococcus aureus (MRSA) pediatric osteomyelitis has risen and been associated with a more severe clinical course than methicillin-susceptible Staphylococcus aureus (MSSA) infections. National databases have been underutilized to describe these trends. We compared demographics, clinical course, and outcomes for patients with MRSA versus MSSA osteomyelitis. Read More

    INDEXES OF CYTOKINE PROFILE OF BLOOD IN PATIENTS WITH COMPLICATED ERYSIPELAS.
    Georgian Med News 2018 Jan(274):13-18
    State Establishment "Lugansk State Medical University", Rubizhne, Lugansk region, Ukraine.
    The cytokine blood profile in patients with complicated erysipelas was investigated. It was found that in patients with complications of erysipelas (gangrene, phlegmon, abscess, thrombophlebitis of the subcutaneous veins of the shin) levels of pro-inflammatory cytokines IL-1ß, TNF-α, IL-2, IL-6 in serum significantly increase and level of anti-inflammatory cytokine IL-4 increases slightly, as well as was found a significant increase in coefficients reflecting the ratio of pro-inflammatory and anti-inflammatory cytokines, which indicates the prevalence in the blood of examined patients with complications of erysipelas an anti-inflammatory properties. A more significant increase in pro-inflammatory cytokines serum levels is typical for patients with destructive forms of erysipelas - phlegmonous and gangrenous, a slight increase - for patients without purulent-necrotic component of complication (thrombophlebitis of the subcutaneous veins of the shin). Read More

    Lesson of the month 1: Lemierre's syndrome: a reminder of the 'forgotten disease'.
    Clin Med (Lond) 2018 Feb;18(1):100-102
    Barts Health NHS Trust, London, UK.
    Lemierre's syndrome is a condition characterised by suppurative thrombophlebitis of the internal jugular (IJ) vein following a recent oropharyngeal infection, with resulting septicaemia and metastatic lesions. It is strongly associated with Fusobacterium necrophorum, a Gram-negative bacilli. Key to early diagnosis is awareness of the classical history and course of this illness, and therefore to ask about a history of recent oropharyngeal infections when a young patient presents with fever and rigors. Read More

    Hughes-Stovin Syndrome as an Outcome of Behçet Disease or as a Different Entity.
    Korean J Thorac Cardiovasc Surg 2018 Feb 5;51(1):64-68. Epub 2018 Feb 5.
    Department of Cardiovascular Surgery, Kirikkale University Faculty of Medicine.
    Hughes-Stovin syndrome is a rare disorder of unknown etiology. Although the association between multiple pulmonary artery aneurysms and venous thrombosis of the lower limbs was reported by Beattie and Hall in 1911, it was not until 1962 that the eponym "Hughes-Stovin syndrome" was formally introduced in the medical literature. We describe 2 patients with Hughes-Stovin syndrome who presented with pulmonary artery aneurysm, thrombophlebitis, hemoptysis, and oral ulcers, review the manifestations of the disease, and compare its similarities with and differences from Behçet disease. Read More

    Pubic and inguinal venous collaterals mimic inguinal hernia.
    J Surg Case Rep 2017 Aug 22;2017(8):rjx113. Epub 2017 Aug 22.
    Department of General, Visceral and Transplant Surgery, Hannover Medical School, Hannover, Germany.
    Herein we report a case of a 38-year-old men who presented with acute suprapubic pain caused by a tubular, hypoechoic, non-compressible, inguinal mass with no flow evident on color Doppler sonography. The history of the patient, the clinical signs of local inflammation and tenderness on palpation as well as the results of the Doppler ultrasound examination led to the diagnose of an inguinal hernia with bowl incarceration. However, due to a remaining uncertainty whether a bilateral or unilateral hernia was immanent and whether the bowl incarceration was caused by a right or left sided hernia the on-call surgeon initiated a computed tomography (CT) scan. Read More

    Executive summary: Diagnosis and Treatment of Catheter-Related Bloodstream Infection: Clinical Guidelines of the Spanish Society of Clinical Microbiology and Infectious Diseases (SEIMC) and the Spanish Society of Intensive Care Medicine and Coronary Units (SEMICYUC).
    Enferm Infecc Microbiol Clin 2018 Feb;36(2):112-119
    Unidad de Cuidados Intensivos, Hospital Universitari Parc Taulí, Sabadell, Barcelona; CIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, España.
    Catheter-related bloodstream infections (CRBSI) constitute an important cause of hospital-acquired infection associated with morbidity, mortality, and cost. The aim of these guidelines is to provide updated recommendations for the diagnosis and management of CRBSI in adults. Prevention of CRBSI is excluded. Read More

    Diagnosis and treatment of catheter-related bloodstream infection: Clinical guidelines of the Spanish Society of Infectious Diseases and Clinical Microbiology and (SEIMC) and the Spanish Society of Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC).
    Med Intensiva 2018 Jan - Feb;42(1):5-36
    Unidad de Cuidados Intensivos, Hospital Universitari Parc Taulí, Sabadell, Barcelona; CIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain.
    Catheter-related bloodstream infections (CRBSI) constitute an important cause of hospital-acquired infection associated with morbidity, mortality, and cost. The aim of these guidelines is to provide updated recommendations for the diagnosis and management of CRBSI in adults. Prevention of CRBSI is excluded. Read More

    A Rare Finding of Falciform Ligament Thrombosis as a Sequel of Acute Pancreatitis.
    Case Rep Radiol 2017 18;2017:2879568. Epub 2017 Dec 18.
    Hairmyres Hospital, Glasgow G75 8RG, UK.
    Falciform ligament (remnant of umbilical vein) is an anatomical structure that connects the liver to the anterior abdominal wall. This case reports a rare clinical presentation of falciform ligament thrombosis as a consequence of acute gallstone pancreatitis, in a patient with noncirrhotic liver. A 55-year-old female with a history of cholelithiasis was admitted with abdominal pain. Read More

    Absent Inferior Vena Cava Leading to Recurrent Lower Extremity Deep Vein Thrombosis in a United States Marine.
    Mil Med 2018 Jan;183(1-2):e172-e174
    U.S. Navy Aviation Medicine, Marine Aircraft Group 14, PO Box 8051, Cherry Point, NC 28533.
    Introduction: Anomalies of the inferior vena cava (AIVC) are rare but well-recognized anatomic abnormalities that can lead to clinically significant deep vein thrombosis (DVT) in a subset of otherwise healthy patients. This report illustrates an uncommon congenital anomaly that military clinicians should consider when evaluating unprovoked DVT in young patients.

    Materials And Methods: Single case report and literature review. Read More

    Pseudocellulitis Need Not be Benign: Three Cases of Superficial Migratory Thrombophlebitis with "Negative" Venous Duplex Ultrasonography.
    J Clin Aesthet Dermatol 2017 Dec 1;10(12):49-51. Epub 2017 Dec 1.
    Dr. Tian is with Ohio State University College of Medicine in Columbus, Ohio.
    Trousseau syndrome is a rare phenomenon in cancer patients characterized by superficial migratory thrombophlebitis. In this brief report, the authors describe three recent case presentations of patients without a prior history of cancer who were treated for cellulitis prior to be admitted to the hospital. All three patients were found to have "negative" testing on venous duplex scanning. Read More

    Penile Mondor's disease in a patient treated with radical chemoradiation for anal cancer.
    Oxf Med Case Reports 2017 Aug 2;2017(8):omx036. Epub 2017 Aug 2.
    Department of Radiation Oncology, Bank of Cyprus Oncology Center 2006, Strovolos 2012, Nicosia, Cyprus.
    Penile Mondor's disease is a rare condition characterized by sclerosing thrombophlebitis of the superficial dorsal penile vein. Usually its causes are benign, but it is also evident in cancer patients. We report the case of a 62-year-old man with a cT4 anal cancer (infiltration of corpora spongiosa and penile bulb), associated with extensive loco-regional lymphadenopathy, who developed painful lumps in the midline of the anterior penile surface while receiving radical chemoradiotherapy. Read More

    Pythium Keratitis Leading to Fatal Cavernous Sinus Thrombophlebitis.
    Cornea 2018 Apr;37(4):519-522
    Department of Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of MAdical Sciences, New Delhi, India.
    Purpose: To report a case of Pythium insidiosum keratitis leading to fatal cavernous sinus thrombophlebitis.

    Methods: Case report.

    Results: A 70-year-old man presented with excruciating pain, redness, and diminution of vision in his left eye for 2 weeks after washing his hair with tap water. Read More

    Mondor's disease - a rare cause of chest pain: a case report.
    J Med Case Rep 2018 Jan 9;12(1). Epub 2018 Jan 9.
    Professorial Medical Unit, Teaching Hospital, Jaffna, Sri Lanka.
    Background: Chest pain is one of the common presenting symptoms encountered in an emergency department. Prompt history taking and careful clinical examination do help to differentiate cardiac chest pain from other causes. Mondor's disease is a rare cause of chest pain which is often underdiagnosed due to lack of awareness. Read More

    Behçet's disease in the United States: A single center descriptive and comparative study.
    Eur J Rheumatol 2017 Dec 3;4(4):239-244. Epub 2017 Nov 3.
    Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
    Objective: Behçet's disease is heterogeneous with clinical variability across ethnicities and geographic locations. The goal of this study was to analyze the clinical characteristics of our multi-ethnic Behçet's disease cohort at the University of Michigan.

    Material And Methods: A detailed patient characterization was performed. Read More

    septic thrombophlebitis following lower extremity amputation in an immunocompetent host.
    BMJ Case Rep 2018 Jan 6;2018. Epub 2018 Jan 6.
    Department of Infectious Diseases, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.
    A 59-year-old man with a history of peripheral vascular disease status post femoral popliteal bypass presented with critical limb ischaemia of the left leg. An arterial Doppler ultrasound showed an occluded graft requiring an above knee amputation. Five days after surgery, the patient developed fever, leucocytosis, significant stump swelling and pain, and serosanguinous discharge from his wound. Read More

    Lemierre syndrome: a diagnostic dilemma in paediatric patients.
    J Surg Case Rep 2017 Dec 21;2017(12):rjx210. Epub 2017 Dec 21.
    Department of Imaging, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK.
    Lemierre's syndrome is a rare disease of the head and neck, characterized by an initial infection, usually within the oropharynx, which can develop into a septic thrombophlebitis. It can involve the jugular vein, facial veins and respiratory tract. A 7-year-old child attended our institution with a 1-week history of fever and cough. Read More

    Variant of Lemierre's syndrome with internal jugular vein aneurysm.
    BMJ Case Rep 2017 Dec 22;2017. Epub 2017 Dec 22.
    Department of Diagnostic Imaging, Hospital Tuanku Ja'afar, Seremban, Negeri Sembilan, Malaysia.
    Internal jugular vein (IJV) aneurysm is a rare entity, and a thrombosed aneurysm poses diagnostic and management challenges. We came across a 53-year-old woman who presented with fever, vomiting and right neck swelling for a week. Laboratory investigations showed neutrophilic leucocytosis, raised acute phase reactant and blood culture yielded Ultrasound and contrast-enhanced CT neck revealed a large fusiform aneurysm of the right IJV with filling defect extending from the aneurysm into the right transverse sinus. Read More

    Thromboembolism following cesarean section: a retrospective study.
    Hematology 2017 Dec 21:1-6. Epub 2017 Dec 21.
    h Departments of Medicine and Laboratory Medicine and Pathobiology , University of Toronto, Division of Hematology, Special Pregnancy Program, Mount Sinai Hospital , Toronto , Canada.
    Objectives: As thromboembolism (TE) continues to be one of the principal causes of death in obstetrical patients and as the postpartum period is associated with the highest risk for TE, we sought to determine the risk factors associated with TE following cesarean section (CS).

    Methods: A retrospective analysis of patients who had CS at a large tertiary referral center was conducted. Patients were identified through hospital medical records and were contacted approximately 1 year following their CS. Read More

    [Dysphagia and tonsillitis in a 25-year-old male patient : The nearly forgotten severe complication of a common ailment].
    Internist (Berl) 2017 Dec 18. Epub 2017 Dec 18.
    Klinik für Allgemeine Innere Medizin, Nephrologie und Dialyse, Hypertensiologie, Klinische Immunologie und Osteologie, St. Franziskus-Hospital GmbH, Hohenzollernring 72, 48145, Münster, Deutschland.
    We report the case of a patient with a severe dysphagia accompanying progressive tonsillitis. The clinical examination supported the possibility of a severe septic soft tissue infection. The blood cultures revealed a largely anaerobic sepsis with Fusobacterium necrophorum. Read More

    [Treatment of a woman with phlegmasia cerulea dolens complicated by massive pulmonary thromboembolism and intestinal haemorrhage].
    Angiol Sosud Khir 2017;23(4):141-146
    Vascular Surgery Department, St. Petersburg Scientific Research Institute of Emergency Medicine named after I.I. Dzhanelidze, Saint Petersburg, Russia.
    Acute thrombosis of the lower limb deep veins remains one of the most common vascular diseases. It is characterised by formation of thrombotic masses in the system of the deep veins of the lower extremities. A serious complication associated with deep vein thrombosis is pulmonary embolism. Read More

    [Thromboangiitis obliterans: notions for practice].
    Rev Med Suisse 2017 Dec;13(586):2129-2133
    Service d'angiologie, Département cœur-vaisseaux, CHUV, 1011 Lausanne.
    Thromboangiitis obliterans is an occlusive vasculopathy affecting small- and medium-size arteries. It can result in severe ischemic status. Thrombophlebitis can be associated. Read More

    Human Infection with without Jugular Venous Thrombosis: A Varied Presentation of Lemierre's Syndrome.
    Case Rep Infect Dis 2017 24;2017:5358095. Epub 2017 Oct 24.
    Critical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
    Lemierre's syndrome is also known as postangina septicemia, which is commonly caused by also known as Necrobacillus and also by other microorganisms like , , , and . Though the disease starts as an upper respiratory tract infection, it may spread and cause thrombophlebitis of the internal jugular vein. It may present itself through cranial nerve palsy or sepsis involving distant organs like the lungs or bones. Read More

    Fusobacterium emphysematous pyomyositis with necrotizing fasciitis of the leg presenting as compartment syndrome: a case report.
    J Med Case Rep 2017 Nov 28;11(1):332. Epub 2017 Nov 28.
    Department of Surgery, University of Illinois at Chicago, Chicago, 60612, IL, USA.
    Background: Fusobacterium necrophorum is a common agent of disease in humans, but the occurrence of primary infections outside the head and neck area is extremely rare. While infection with Fusobacterium necrophorum has a rather benign course above the thorax, the organism is capable of producing very severe disease when located in unusual sites, including various forms of septic thrombophlebitis. No infections of the leg have been documented before; thus, antibiotic coverage for Fusobacterium is currently not recommended in this area. Read More

    [Maternal death by stroke. Results from the French enquiry into maternal deaths, 2010-2012].
    Gynecol Obstet Fertil Senol 2017 Dec 15;45(12S):S65-S70. Epub 2017 Nov 15.
    Département d'anesthésie-réanimation-SMUR, hôpital Lariboisière, Assistance publique-Hôpitaux de Paris, 2, rue Ambroise-Paré, 75010 Paris, France. Electronic address:
    Stroke is a rare event during pregnancy (10/100,000) and can be ischemic (24%), hemorrhagic (74%) or both (2%). Pregnancy probably increases the risk even if it is discussed for arteriovenous malformation (AVM), aneurismal subarachnoid hemorrhage (SAH) and cavernomas. Between 2010 and 2012, 31 maternal deaths were associated with stroke. Read More

    Vancomycin Infiltrate-Induced Dermatitis Mimicking Bullous Cellulitis.
    J Drugs Dermatol 2017 Nov;16(11):1160-1163

    Extravasation of medications can manifest as tenderness, pain, tissue necrosis, and thrombophlebitis and lead to infection and severe long-term complications. Risk factors for leakage of medications include mechanical and pharmacologic mechanisms such as cannulation technique, vasoconstriction, and cytotoxicity. Well-known vesicants like anthracyclines, vinca alkaloids, and vasopressors are usually administered with proper caution. Read More


    Lemierre's Syndrome - A rare cause of disseminated sepsis requiring multi-organ support.
    J Intensive Care Soc 2017 Nov 14;18(4):329-333. Epub 2017 Mar 14.
    Department of Anaesthesia, Ninewells Hospital, Dundee, UK.
    Lemierre's syndrome is a rare complication of acute pharyngitis characterised by septicaemia with infective thrombophlebitis of the internal jugular vein, most commonly due to . It characteristically affects healthy young adults causing persistent pyrexia and systemic sepsis presenting several days after an initial pharyngitis. Septic emboli seed via the bloodstream to distant sites including the lung, joints, skin, liver, spleen and brain. Read More

    Complications from Administration of Vasopressors Through Peripheral Venous Catheters: An Observational Study.
    J Emerg Med 2018 Jan 27;54(1):47-53. Epub 2017 Oct 27.
    Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
    Background: The placement of a central venous catheter for the administration of vasopressors is still recommended and required by many institutions because of concern about complications associated with peripheral administration of vasopressors.

    Objective: Our aim was to determine the incidence of complications from the administration of vasopressors through peripheral venous catheters (PVC) in patients with circulatory shock, and to identify the factors associated with these complications.

    Methods: This was a prospective, observational study conducted in the emergency department (ED) of a tertiary care medical center. Read More

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