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. 2024 Mar 4;17(1):33.
doi: 10.1186/s12245-024-00602-8.

Catheter-related gas-forming suppurative thrombophlebitis

Yasuyoshi Miyamura  1 , Takeshi Shimazaki  2 , Kunihiko Okada  2
Affiliations

Catheter-related gas-forming suppurative thrombophlebitis

Yasuyoshi Miyamura et al. Int J Emerg Med. .

Abstract

Catheter-related suppurative thrombophlebitis (CRST) is a complication of catheter-related bloodstream infection (CRBSI). The microbiology of CRST is similar with the microbiology of CRBSI, but Clostridium perfringens that causes gas gangrene is a rare pathogen of CRBSI and CRST. We present a case of catheter-related gas-forming suppurative thrombophlebitis due to Clostridium perfringens infection. Gas-forming thrombus around the catheter can be useful findings for the early diagnosis of catheter-related clostridial thrombophlebitis.

Keywords: Clostridium perfringens; Catheter-related bloodstream infection; Central line-associated bloodstream infection; Central venous catheter-related thrombosis; Gas-forming suppurative thrombophlebitis.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Axial contrast-enhanced computed tomography (CECT) showing round gas in a thrombus (red arrow) in the inferior vena cava (blue arrow)
Fig. 2
Fig. 2
Sagittal CECT showing columnar gas (8.5 mm in diameter and 60 mm in length) in a thrombus (red arrows) and the central catheter tip in the right common iliac vein (yellow arrow)
See this image and copyright information in PMC

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