Successful treatment of fungal central thrombophlebitis by surgical thrombectomy in Korea: a case report
Fungal thrombophlebitis of the central vein is a rare, life-threatening disease associated with significant morbidity and mortality. It requires immediate central venous catheter removal and intravenous antifungal therapy, combined in some cases with either anticoagulation or aggressive surgical deb...
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Korean Society of Traumatology
2023-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0063.pdf |
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| author | Eun Ji Lee Jihoon T. Kim |
| author_facet | Eun Ji Lee Jihoon T. Kim |
| author_sort | Eun Ji Lee |
| collection | DOAJ |
| description | Fungal thrombophlebitis of the central vein is a rare, life-threatening disease associated with significant morbidity and mortality. It requires immediate central venous catheter removal and intravenous antifungal therapy, combined in some cases with either anticoagulation or aggressive surgical debridement. A 70-year-old male patient injured by a falling object weighing 1,000 kg was transferred to our hospital. A contained rupture of the abdominal aorta with retroperitoneal hematoma was treated with primary aortic repair, and a small bowel perforation with mesenteric laceration was treated with resection and anastomosis. After a computed tomography scan, the patient was diagnosed with thrombophlebitis of the left internal jugular vein and brachiocephalic vein. Despite antifungal treatment, fever and candidemia persisted. Therefore, emergency debridement and thrombectomy were performed. After the operation, the patient was treated with an oral antifungal agent and direct oral anticoagulants. During a 1-year follow-up, no signs of candidemia relapse were observed. There is no optimal timing of surgical treatment for relapsed fungal central thrombophlebitis. Surgical treatment should be considered for early recovery. |
| format | Article |
| id | doaj-art-2bb8d105dc224177bad3911d95af069d |
| institution | DOAJ |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-2bb8d105dc224177bad3911d95af069d2025-08-20T02:41:17ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-09-0136327628010.20408/jti.2022.00631243Successful treatment of fungal central thrombophlebitis by surgical thrombectomy in Korea: a case reportEun Ji Lee0Jihoon T. Kim1 Department of Trauma Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea Department of Trauma Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaFungal thrombophlebitis of the central vein is a rare, life-threatening disease associated with significant morbidity and mortality. It requires immediate central venous catheter removal and intravenous antifungal therapy, combined in some cases with either anticoagulation or aggressive surgical debridement. A 70-year-old male patient injured by a falling object weighing 1,000 kg was transferred to our hospital. A contained rupture of the abdominal aorta with retroperitoneal hematoma was treated with primary aortic repair, and a small bowel perforation with mesenteric laceration was treated with resection and anastomosis. After a computed tomography scan, the patient was diagnosed with thrombophlebitis of the left internal jugular vein and brachiocephalic vein. Despite antifungal treatment, fever and candidemia persisted. Therefore, emergency debridement and thrombectomy were performed. After the operation, the patient was treated with an oral antifungal agent and direct oral anticoagulants. During a 1-year follow-up, no signs of candidemia relapse were observed. There is no optimal timing of surgical treatment for relapsed fungal central thrombophlebitis. Surgical treatment should be considered for early recovery.http://jtraumainj.org/upload/pdf/jti-2022-0063.pdfthrombophlebitisthrombectomycandidemiajugular veinscase reports |
| spellingShingle | Eun Ji Lee Jihoon T. Kim Successful treatment of fungal central thrombophlebitis by surgical thrombectomy in Korea: a case report Journal of Trauma and Injury thrombophlebitis thrombectomy candidemia jugular veins case reports |
| title | Successful treatment of fungal central thrombophlebitis by surgical thrombectomy in Korea: a case report |
| title_full | Successful treatment of fungal central thrombophlebitis by surgical thrombectomy in Korea: a case report |
| title_fullStr | Successful treatment of fungal central thrombophlebitis by surgical thrombectomy in Korea: a case report |
| title_full_unstemmed | Successful treatment of fungal central thrombophlebitis by surgical thrombectomy in Korea: a case report |
| title_short | Successful treatment of fungal central thrombophlebitis by surgical thrombectomy in Korea: a case report |
| title_sort | successful treatment of fungal central thrombophlebitis by surgical thrombectomy in korea a case report |
| topic | thrombophlebitis thrombectomy candidemia jugular veins case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2022-0063.pdf |
| work_keys_str_mv | AT eunjilee successfultreatmentoffungalcentralthrombophlebitisbysurgicalthrombectomyinkoreaacasereport AT jihoontkim successfultreatmentoffungalcentralthrombophlebitisbysurgicalthrombectomyinkoreaacasereport |