Candida Thrombosis of the Innominate Vein With Septic Pulmonary Emboli

Rosemary F. Kelly, Albert E. Yellin, Fred A. Weaver

Research output: Contribution to journalArticle

7 Scopus citations

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 the Candida sepsis and maintained patency of a major vein. Thrombectomy should be considered as a therapeutic option in septic central vein thrombosis.

Original languageEnglish (US)
Pages (from-to)343-346
Number of pages4
JournalAnnals of Vascular Surgery
Volume7
Issue number4
DOIs
StatePublished - Jan 1 1993
Externally publishedYes

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