Suppurative thrombophlebitis history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2]

When obtaining a history from a patient with suspected suppurative thrombophlebitis, specific areas of focus include a history of an intravenous catheter, a phlebotomy attempt, and intravenous injections. Common symptoms of superficial vein thrombophlebitis include fever, erythema, tenderness, and purulent drainage at the site of the involved vessel.^[1][2] Symptoms of Lemierre syndrome include fever, rigors, localized neck pain, and erythema, tenderness, swelling, and induration overlying the jugular vein.^[3]

When obtaining a history from a patient with suspected suppurative thrombophlebitis, specific areas of focus include:

• A history of an intravenous catheter
• A phlebotomy attempt
• Intravenous injections

Symptoms of Lemierre syndrome include:^[3]

• Erythema, tenderness, swelling, and induration overlying the jugular vein
• Sore throat
• Fever
• Rigors
• Localized neck pain
• Muscle pain

Common symptoms of portal vein thrombophlebitis (pylephlebitis) include:^[4]

• Fever
• Abdominal pain
• Chills
• Nausea and vomiting
• Fatigue

Common symptoms of superficial vein thrombophlebitis include:^[1][2]

• Fever
• Erythema
• Tenderness and purulent drainage at the site of the involved vessel

Deep veins suppurative thrombophlebitis is characterized by fever in absence of pain or swelling at the site of a central venous catheter. When there is thrombosis of the intra-abdominal veins, abdominal pain and discomfort with or without hepatomegaly and jaundice may occur.^[5]

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