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Septic pelvic thrombophlebitis (SPT), also known as suppurative pelvic thrombophlebitis, is a rare postpartum complication which consists of a persistent postpartum fever that is not responsive to broad-spectrum antibiotics, in which pelvic infection leads to infection of the vein wall and intimal damage leading to thrombogenesis in the ovarian veins (left or right, although right is more ...
Septic thrombophlebitis is characterized by a bacterial or fungal infection that coexists with venous thrombosis.Deep veins or superficial veins could be affected. Septic thrombophlebitis can manifest as anything from a harmless condition that affects a small area of superficial veins to serious systemic infections that cause shock and even death.
The diagnosis for thrombophlebitis is primarily based on the appearance of the affected area. Frequent checks of the pulse , blood pressure , and temperature may be required. If the cause is not readily identifiable, tests may be performed to determine the cause, including the following: [ 1 ] [ 4 ]
Suppurative thrombophlebitis is suspected when erythema extends significantly beyond the margin of the vein and is likely to be associated with significant fever. If suspected, antibiotic treatment, surgical drainage, and potentially vein excision are indicated. [13] Venous thromboembolism can occur with superficial vein thrombosis.
Treatment usually consists of NSAIDs, such as ibuprofen and local compression (e.g., by compression stockings or a compress). [7] If the phlebitis is associated with local bacterial infection, antibiotics may be used. [8] For acute infusion superficial thrombophlebitis, not enough evidence exists as of 2015 to determine treatment. [9]
Usually there is thrombophlebitis, which is an inflammatory reaction around a thrombosed vein, presenting as a painful induration (thickening of the skin) with redness. SVT itself has limited significance (in terms of direct morbidity and mortality ) when compared to a deep vein thrombosis (DVT), which occurs deeper in the body at the deep ...
Other symptoms can develop based on the cause. For example, if portal vein thrombosis develops due to liver cirrhosis , bleeding or other signs of liver disease may be present. If portal vein thrombosis develops due to pylephlebitis , signs of infection such as fever, chills, or night sweats may be present.
Pseudothrombophlebitis is clinically indistinguishable from a true thrombophlebitis such as deep vein thrombosis; the symptoms and history are similar and these conditions cannot be distinguished by clinical examination without radiological or arthroscopic imaging. [citation needed]