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Acute pharyngitis, an unusual complication of intravenous hyperalimentation

Published online by Cambridge University Press:  29 June 2007

Masanori Sakaguchi ,
Kiichiro Taguchi  and
Tetsuya Ishiyama
Masanori Sakaguchi*
Affiliation:
Department of Otolaryngology, Shinshu University School of Medicine, Matsumoto, Japan.
Kiichiro Taguchi
Affiliation:
Department of Otolaryngology, Shinshu University School of Medicine, Matsumoto, Japan.
Tetsuya Ishiyama
Affiliation:
Department of Otolaryngology, Shinshu University School of Medicine, Matsumoto, Japan.
*
Masanori Sakaguchi, Department of Otolaryngology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390, Japan. Fax: 0263-36-9164.
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Abstract

While the numerous complications of intravenous hyperalimentation (IVH) are well recognized, we encountered a unique one. A 60-year-old man developed a sore throat, neck pain and fever seven days after catheterization of the subclavian vein to provide post-operative nutrition. Marked swelling was visible at the right posterior wall of his oropharynx and hypopharynx. X-ray of the neck revealed that the tip of the catheter was positioned in the internal jugular vein, not the subclavian vein as intended. The acute pharyngitis, diagnosed as due to phlebitis of the internal jugular vein due to the malpositioned catheter, subsided within two days of catheter removal.

Keywords

PharyngitisPhlebitiscomplicationsParenteral nutritiontotal
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 2 , February 1994 , pp. 159 - 160
Copyright
Copyright © JLO (1984) Limited 1994

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References

Belcastro, S., Susa, A., Pavanelli, L., Guberti, A., Buccoliero, C. (1990) Thrombosis of the superior vena cava due to a central catheter for total parenteral nutrition. Journal of Parenteral and Enteral Nutrition 14: 31–33.CrossRefGoogle ScholarPubMed
Bernard, R. W., Stahl, W. M. (1971) Subclavian vein catheterizations: a prospective study. I. Non-infectious complications. Annals of Surgery 173: 184–190.CrossRefGoogle ScholarPubMed
Christensen, K. H., Nerstrom, B., Baden, H. (1967) Complications of percutaneous catheterization of the subclavian vein in 129 cases. Acta Chirurgica Scandinavica 133: 615–620.Google ScholarPubMed
Deitel, M., Mclntyre, J. A. (1971) Radiographic confirmation of site of central venous pressure catheters. Canadian Journal of Surgery 14: 42–52.Google ScholarPubMed
Dudrick, S. J., Wilmore, D. W., Vars, H. M., Rhoads, J. E. (1968) Long-term total parenteral nutrition with growth, development, and positive nitrogen balance. Surgery 64: 134–142.Google ScholarPubMed
Gazitua, R., Wilson, K., Bistrian, B. R., Blackburn, G. L. (1979) Factors determining peripheral vein tolerance to amino acid infusions. Archives of Surgery 114: 897–900.CrossRefGoogle ScholarPubMed
Giuffrida, D. J., Bryan-Brown, C. W., Lumb, P. D., Kwun, K., Rhoades, H. M. (1986) Central versus peripheral venous catheters in critically ill patients. Chest 90: 806–809.CrossRefGoogle ScholarPubMed
Ladefoged, K., Efsen, F., Christoffersen, J. K., Jarnum, S. (1981) Long-term parenteral nutrition. II. Catheter-related complications. Scandinavian Journal of Gastroenterology 16: 913–919.CrossRefGoogle ScholarPubMed
Makarewicz, P. A., Freeman, J. B., Fairfull-Smith, R. (1986) Prevention of superficial phlebitis during peripheral parenteral nutrition. American Journal of Surgery 151: 126–129.CrossRefGoogle ScholarPubMed
McDonnell, P. J., Qualman, S. J., Hutchins, G. M. (1984) Bilateral hydrothorax as a life-threatening complication of central venous hyperalimentation. Surgery Gynecology and Obstetrics 158: 577–579.Google ScholarPubMed
Ryan, J. A., Abel, R. M., Abbott, W. M., Hopkins, C. C., Chesney, T. M., Colley, R., Phillips, K., Fischer, J. E. (1974) Catheter complications in total parenteral nutrition. A prospective study of 200 consecutive patients. New England Journal of Medicine 290: 757–761.CrossRefGoogle ScholarPubMed
Rypins, E. B., Johnson, B. H., Reder, S. B., Sarfeh, I. J., Shimoda, K. (1990) Three-phase study of phlebitis in patients receiving peripheral intravenous hyperalimentation. American Journal of Surgery 159: 222–225.CrossRefGoogle ScholarPubMed
Shires, G. T, Canizaro, P. C.Lowry, S. F. (1989) Fluid, electrolyte, and nutritional management of the surgical patient. In Principles of Surgery. 5th Edition. (Schwartz, S. I., Shires, G. T, Spencer, F. C, eds.), McGraw-Hill Book Co., New York, pp 95–103.Google Scholar