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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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