Korean J Otolaryngol-Head Neck Surg.  2003 May;46(5):440-443.

A Case of External Jugular Vein Thrombophlebitis with Sepsis

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Fatima Hospital, Daegu, Korea. rioda99@empal.com

Abstract

Septic thrombophlebitis results from extensive infection of the lateral pharyngeal space to the jugular vein and generally occurs in healthy adolescents and young adults. This disease can disseminate to multiple distant sites such as joint, liver, kidney, eye, bone, and especially lung, and can lead patients into fatal condition. Contrast enhanced computed tomography and ultrasonography are good diagnostic methods for external jugular vein thrombophlebitis (EJVT). Treatment of EJVT includes intravenous antibiotics and surgical drainage of abscess, ligation or excision of the jugular vein, in addition to fibrinolytic agents and anticoagulants. With a review of literature, authors report a case of external jugular vein thrombophlebitis with sepsis which has successfully been managed by ligation and excision of the vein.

Keyword

Sepsis; External jugular vein; Thrombophlebitis

MeSH Terms

Abscess
Adolescent
Anti-Bacterial Agents
Anticoagulants
Drainage
Fibrinolytic Agents
Humans
Joints
Jugular Veins*
Kidney
Ligation
Liver
Lung
Sepsis*
Thrombophlebitis*
Ultrasonography
Veins
Young Adult
Anti-Bacterial Agents
Anticoagulants
Fibrinolytic Agents
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