Septic uveitis revealing internal jugular vein thrombophlebitis.

摘要

A 65-year-old woman had a bilateral oophorectomy for a left borderline ovarian tumour. 6 years later, she had a second-look laparotomy and hyperthermic intraperitoneal chemotherapy for a tumoral recurrence. During surgery, the patient was monitored with a Swan-Ganz catheter, placed in the right internal jugular vein. The catheter was removed the day after surgery. A venous catheter placed in the right internal jugular vein was then used for central access. 6 days after the operation, a left visual blur and a reduction of visual acuity occurred. Simultaneously, she developed septic shock with pyrexia of 40 ? 1°C, shivering, sinus tachycardia, and hypotension (blood pressure 90/60 mmHg). Blood cultures and the central catheter tip grew meticillin-sensitive Staphylococcus aureus. Therefore antibiotic treatment with oxacillin and levofloxacin was started.