Subject(s)
Arteriovenous Shunt, Surgical/adverse effects , Kidney Failure, Chronic/therapy , Lupus Nephritis/complications , Mycobacterium Infections/microbiology , Thrombosis/microbiology , Adult , Brachiocephalic Trunk/diagnostic imaging , Brachiocephalic Trunk/microbiology , Brachiocephalic Trunk/pathology , Brachiocephalic Trunk/surgery , Brachiocephalic Veins/diagnostic imaging , Brachiocephalic Veins/microbiology , Brachiocephalic Veins/pathology , Brachiocephalic Veins/surgery , Female , Humans , Kidney Failure, Chronic/etiology , Mycobacterium/isolation & purification , Mycobacterium Infections/pathology , Renal Dialysis/adverse effects , Staphylococcus epidermidis/isolation & purification , Thrombosis/diagnostic imaging , Thrombosis/pathology , Ultrasonography, Doppler, ColorSubject(s)
Fusobacterium Infections/complications , Fusobacterium necrophorum/pathogenicity , Jugular Veins/microbiology , Thrombophlebitis/microbiology , Adult , Brachiocephalic Veins/diagnostic imaging , Brachiocephalic Veins/microbiology , Humans , Jugular Veins/diagnostic imaging , Male , Pharyngitis , Subclavian Vein/diagnostic imaging , Subclavian Vein/microbiology , Syndrome , Thrombophlebitis/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
We describe a case of focal and intense contrast enhancement on hepatic CT due to superior vena caval obstruction and brachiocephalic vein obstruction. This phenomenon is explained by systemic portal venous shunting.
Subject(s)
Brachiocephalic Veins/diagnostic imaging , Liver Circulation , Portal System , Portal System/diagnostic imaging , Superior Vena Cava Syndrome/diagnostic imaging , Tomography, X-Ray Computed , Adult , Azygos Vein/physiopathology , Brachiocephalic Veins/microbiology , Brachiocephalic Veins/physiopathology , Constriction, Pathologic , Humans , Male , Mediastinal Diseases/complications , Portal System/physiopathology , Superior Vena Cava Syndrome/microbiology , Superior Vena Cava Syndrome/physiopathology , Tomography, X-Ray Computed/methods , Tuberculosis/complicationsABSTRACT
Candidemia and major organ candidiasis are problems that emerged in the past 2 decades and that are partially due to medical progress. Catheter-related thrombosis of the central veins is known to be a frequent but mostly subclinical complication of central venous lines. Although candidemia and catheter-related thrombosis are frequent, candida thrombophlebitis of the central veins is rarely reported. We recently successfully treated a 19-year-old polytrauma patient with candidal thrombophlebitis of the innominate vein. Despite catheter removal and therapy with amphotericin B, recurrent candidemia and signs of infection persisted, and a complete resection of the involved vein had to be performed. Only 16 well-documented cases of candidal thrombophlebitis of the central veins in adults have been reported over the past 20 years. An analysis of these 16 patients, together with our patient, is made in relation to risk factors, clinical features, diagnosis, therapy, and mortality.