Pelvic Thrombophlebitis: a Case Report of a 34-Year-Old Woman with Klebsiella Positive Blood Culture
Novelty in Biomedicine,
Vol. 5 No. 4 (2017),
22 Mehr 2017
,
Page 185-187
https://doi.org/10.22037/nbm.v5i4.13290
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.
- Pelvic Thrombophlebitis
- Klebsiella
- Hysterectomy
How to Cite
References
Hamada A, Hwang C, Fleisher J, Tuerk I. Microbiological evaluation of infected pelvic lymphocele after robotic prostatectomy: potential predictors for culture positivity and selection of the best empirical antimicrobial therapy. International Urology and Nephrology. 2017;49(7):1183-91.
Lethaby A, Mukhopadhyay A, Naik R. Total versus subtotal hysterectomy for benign gynaecological conditions. The Cochrane database of systematic reviews. 2012(4):Cd004993.
Brown CE, Stettler RW, Twickler D, Cunningham FG. Puerperal septic pelvic thrombophlebitis: Incidence and response to heparin therapy. American Journal of Obstetrics & Gynecology. 181(1):143-8.
Brook I. Spectrum and treatment of anaerobic infections. Journal of Infection and Chemotherapy. 2016;22(1):1-13.
Rottenstreich A, Da'as N, Kleinstern G, Spectre G, Amsalem H, Kalish Y. Pregnancy and non-pregnancy related ovarian vein thrombosis: Clinical course and outcome. Thrombosis Research. 2016;146(Supplement C):84-8.
Josey WE, Staggers SR. Heparin therapy in septic pelvic thrombophlebitis: A study of 46 cases. American Journal of Obstetrics & Gynecology. 120(2):228-33.
Wiesenfeld HC. Complications of Hysterectomy. Obstetrics & Gynecology. 2013;122(1):156.
Oh HG, Cha S-I, Shin K-M, Lim J-K, Kim HJ, Yoo S-S, et al. Risk factors for mortality in patients with septic pulmonary embolism. Journal of Infection and Chemotherapy. 2016;22(8):553-8.
Navaratnam AMD, Harris M, Dawes A, Jayasena D. Klebsiella pyomyositis with complications: a quadriceps quandary in a dialysis patient. Oxford Medical Case Reports. 2016;2016(8):omw037-omw.
Qureshi ZA, Paterson DL, Potoski BA, Kilayko MC, Sandovsky G, Sordillo E, et al. Treatment outcome of bacteremia due to KPC-producing Klebsiella pneumoniae: superiority of combination antimicrobial regimens. Antimicrobial Agents and Chemotherapy. 2012;56(4):2108-13.
Chavan NN, Changede PR, Khan SR. Home delivery complicated with puerperal sepsis in urban India. 2017. 2017;5(5):3.
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