Catheter-related gas-forming suppurative thrombophlebitis

Yasuyoshi Miyamura; Takeshi Shimazaki; Kunihiko Okada

doi:10.1186/s12245-024-00602-8

Catheter-related gas-forming suppurative thrombophlebitis

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

Authors

Yasuyoshi Miyamura¹, Takeshi Shimazaki², Kunihiko Okada²

Affiliations

¹ Department of Emergency and Critical Care Medicine, Saku Central Hospital Advanced Care Center, Nakagomi, Saku, Nagano, 3400-28, Japan. yaskichi18@yahoo.co.jp.
² Department of Emergency and Critical Care Medicine, Saku Central Hospital Advanced Care Center, Nakagomi, Saku, Nagano, 3400-28, Japan.

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.