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Acute pylephlebitis following gastrointestinal infection: an unrecognized cause of septic shock.
South Med J. 2010 Sep; 103(9):956-9.SM

Abstract

Pylephlebitis is the septic thrombosis of the portal vein. Hypercoagulability and intra-abdominal sepsis are the main predisposing factors. A 25-year-old man presented to a primary health care center complaining of fever, epigastric pain, and jaundice. He was initially diagnosed with a gastrointestinal infection and alcoholic hepatitis and, due to his unstable clinical status, was referred to the emergency room. A diagnosis of acute pylephlebitis complicated with septic shock was made. Treatment with a wide-spectrum antibiotic and anticoagulation was initiated. Fifteen days later, recanalization of the portal vein was achieved and clinical status was improved. Pylephlebitis following gastrointestinal infection is a potential cause of septic shock.

Authors+Show Affiliations

Liver Unit, Institut Clinic de Malaties Digestives I Metabòliques, Hospital Clinic i Provincial, Barcelona, Spain. dr_altamirano@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20689494

Citation

Altamirano, José, et al. "Acute Pylephlebitis Following Gastrointestinal Infection: an Unrecognized Cause of Septic Shock." Southern Medical Journal, vol. 103, no. 9, 2010, pp. 956-9.
Altamirano J, Zapata L, Poblano M, et al. Acute pylephlebitis following gastrointestinal infection: an unrecognized cause of septic shock. South Med J. 2010;103(9):956-9.
Altamirano, J., Zapata, L., Poblano, M., Rodríguez, A., Camargo, L., Martínez, B., & Bataller, R. (2010). Acute pylephlebitis following gastrointestinal infection: an unrecognized cause of septic shock. Southern Medical Journal, 103(9), 956-9. https://doi.org/10.1097/SMJ.0b013e3181e63504
Altamirano J, et al. Acute Pylephlebitis Following Gastrointestinal Infection: an Unrecognized Cause of Septic Shock. South Med J. 2010;103(9):956-9. PubMed PMID: 20689494.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute pylephlebitis following gastrointestinal infection: an unrecognized cause of septic shock. AU - Altamirano,José, AU - Zapata,Laura, AU - Poblano,Manuel, AU - Rodríguez,Agustín, AU - Camargo,Leonardo, AU - Martínez,Belinda, AU - Bataller,Ramón, PY - 2010/8/7/entrez PY - 2010/8/7/pubmed PY - 2010/9/30/medline SP - 956 EP - 9 JF - Southern medical journal JO - South Med J VL - 103 IS - 9 N2 - Pylephlebitis is the septic thrombosis of the portal vein. Hypercoagulability and intra-abdominal sepsis are the main predisposing factors. A 25-year-old man presented to a primary health care center complaining of fever, epigastric pain, and jaundice. He was initially diagnosed with a gastrointestinal infection and alcoholic hepatitis and, due to his unstable clinical status, was referred to the emergency room. A diagnosis of acute pylephlebitis complicated with septic shock was made. Treatment with a wide-spectrum antibiotic and anticoagulation was initiated. Fifteen days later, recanalization of the portal vein was achieved and clinical status was improved. Pylephlebitis following gastrointestinal infection is a potential cause of septic shock. SN - 1541-8243 UR - https://www.unboundmedicine.com/medline/citation/20689494/Acute_pylephlebitis_following_gastrointestinal_infection:_an_unrecognized_cause_of_septic_shock_ L2 - http://dx.doi.org/10.1097/SMJ.0b013e3181e63504 DB - PRIME DP - Unbound Medicine ER -