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Septic thrombophlebitis

Imaging findings

Contrast-enhanced CT neck and chest show a thrombosed, distended right jugular and brachiocephalic vein containing clotted blood and demonstrating peripheral wall enhancement, associated with new, multiple bilateral peripheral nodular consolidations representing septic pulmonary emboli.

Key takeaways

Intravenous catheters and ports are a recognized source of catheter-related bloodstream infections. Complications include septic thrombophlebitis of the jugular/brachiocephalic veins and hematogenous dissemination of septic emboli to the lungs.

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