Pylephlebitis: Incidence and prognosis in a tertiary hospital

被引：19

作者：

Belhassen-Garcia, Moncef ^{[1
]}

Gomez-Munuera, Mercedes ^{[2
]}

Pardo-Lledias, Javier ^{[3
]}

Velasco-Tirado, Virginia ^{[4
]}

Perez-Persona, Ernesto ^{[5
]}

Galindo-Perez, Inmaculada ^{[6
]}

Alvela-Suarez, Lucia ^{[7
]}

Romero-Alegria, Angela ^{[7
]}

Munoz-Bellvis, Luis ^{[8
]}

Cordero-Sanchez, Miguel ^{[1
]}

机构：

[1] Univ Salamanca, Dept Internal Med, Infect Dis Unit, IBSAL,Univ Hosp Salamanca,CIETUS, E-37008 Salamanca, Spain

[2] Univ Salamanca, Dept Internal Med, IBSAL, Univ Hosp Salamanca, E-37008 Salamanca, Spain

[3] Gen Hosp Palencia Rio Carrion, Dept Internal Med, Palencia, Spain

[4] Univ Salamanca, Dept Internal Med, IBSAL, Univ Hosp Salamanca,CIETUS, E-37008 Salamanca, Spain

[5] Txagorritxu Hosp, Dept Haematol, Vitoria, Spain

[6] CAP Jose Barros Camargo, Muriedas, Cantabria, Spain

[7] Univ Hosp Salamanca, Dept Internal Med, IBSAL, Salamanca, Spain

[8] Univ Salamanca, Dept Surg, IBSAL, Univ Hosp Salamanca, E-37008 Salamanca, Spain

来源：

ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA | 2014年 / 32卷 / 06期

关键词：

Septic thrombophlebitis; Pylephlebitis; Intra-abdominal infection; PORTAL-VEIN THROMBOSIS; SEPTIC THROMBOPHLEBITIS; MANAGEMENT; DIAGNOSIS; PLASMA;

D O I：

10.1016/j.eimc.2013.09.002

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Objectives: Septic thrombophlebitis of the portal vein or its branches, most often secondary to intra-abdominal infection is known as pylephlebitis. The frequency and the prognosis of this complication are unknown. The aim of this study was to determine the global and relative incidence of the most frequent intra-abdominal infections and the real prognosis of this disease. Methods: An observational retrospective study was conducted in a tertiary care hospital (University Hospital of Salamanca, Spain) from January 1999 to December 2008. Results: A total of 7796 patients with intra-abdominal infection were evaluated, of whom 13 (0.6%) had been diagnosed with pylephlebitis. Diverticulitis was the most frequent underlying process, followed by biliary infection. Early mortality was 23%. Survivors had no recurrences, but one of them developed portal cavernomatosis. Conclusions: Pylephlebitis is a rare complication of intra-abdominal infection, with a high early mortality, but with a good prognosis for survivors. (C) 2013 Elsevier Espana, S.L. and Sociedad Espanola de Enfermedades Infecciosas y Microbiologia Clinica. All rights reserved.

引用

页码：350 / 354

页数：5

共 13 条

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