Staphylococcus aureus mediastinitis due to subclavian vein perforation and catheter-related-infection

Pierre Rivière; Jules Bauer; Florent Hégo; Naji Raad; Abeer Najem; Aurélie Tomaszewski; Simon Dandoy; Guillaume Marie

doi:10.1016/j.idcr.2020.e01044

Staphylococcus aureus mediastinitis due to subclavian vein perforation and catheter-related-infection

IDCases. 2021 Jan 2:23:e01044. doi: 10.1016/j.idcr.2020.e01044. eCollection 2021.

Authors

Pierre Rivière¹, Jules Bauer², Florent Hégo³, Naji Raad⁴, Abeer Najem⁵, Aurélie Tomaszewski⁶, Simon Dandoy⁶, Guillaume Marie⁵

Affiliations

¹ Intensive Care Unit, Boulogne-sur-mer Hospital, Boulogne-sur-mer, France.
² Infectious Diseases Department, Lille University Hospital, Lille, France.
³ Centre Oscar-Lambret, Lille, France.
⁴ Radiology Department, Lille University Hospital, Lille, France.
⁵ Medical Oncology Department, Boulogne-sur-mer Hospital, Boulogne-sur-mer, France.
⁶ Centre Joliot-Curie, Saint-Martin Boulogne, France.

Abstract

In rare cases the implantation or use of a port-a-cath can be complicated by venous perforation or catheter-related infection. We describe a patient with these two complications resulting in Staphylococcus aureus mediastinitis. Removal of the device and prolonged antibiotic therapy cured the infection.

Keywords: Catheter-related infection; Mediastinitis; Port-a-cath; Post-radiation; Venous perforation.

Publication types

Case Reports