Pelvic Thrombophlebitis: a Case Report of a 34-Year-Old Woman with Klebsiella Positive Blood Culture

Sahar Babaali, AmirHossein Moghtader Mojdehi

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Abstract

Background: Septic Thrombophlebitis is one of the rare complications of hysterectomy, which is well known through an uncontrolled fever after wide spectrum antibiotic therapy. One of the very rare pathogens to cause bacteremia in this situation is Klebsiella pneumonia, which is a vaginal normal flora. Although it is accepted that the main treatment for thrombophlebitis is anticoagulant therapy, however, in cases with co morbid bacteremia antibiotic therapy remains a critical procedure.

Cases Report: We present a case with a history of recent hysterectomy who was admitted to the Vali-e-Asr hospital of Zanjan with uncontrolled high fever 72 hours after her surgical procedure.

Conclusion: Fever is one of the most common post-surgical complications which could be due to post- operative infections. Thrombophlebitis of pelvic veins is one of the very rare complications which can alternatively cause bacteremia. Although uncommon, Klebsiella could be the leading cause of bacteremia. So it is important to consider a thorough work up in patients presenting with fever after hysterectomy.

Keywords

Pelvic Thrombophlebitis, Klebsiella, Hysterectomy

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References

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