Article |

Candidal Suppurative Thrombophlebitis in a Premature Infant

Am J Dis Child. 1988;142(3):254-255. doi:10.1001/archpedi.1988.02150030020010.
Text Size: A A A
Published online

Sir.—Candidal suppurative thrombophlebitis has not been previously described in premature infants. Systemic candidiasis with Candida skin abscesses has been documented.1 We describe a premature infant with systemic candidiasis due to candidal suppurative thrombophlebitis.

Patient Report.—A premature infant girl of 32 weeks' gestation received assisted ventilation for severe hyaline membrane disease. Indwelling arterial lines were in place for the first seven days. Fluids, including an amino acid solution, were given via a peripheral vein from day 4. Intravenous cannulae were not changed regularly.

For the first nine days the patient was treated for suspected pneumonia with penicillin G and gentamicin. On day 10 the antibiotic treatment was changed to amikacin and piperacillin.

On day 12 the spleen became palpable for the first time and an area of cellulitis was noted over the dorsum of the right foot, a site of previous intravenous cannulation for approximately 70 hours. The


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.