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Mediastinitis and mediastinitis-like symptoms associated with mal-positioning of a Port-A catheter
Authors:T-C HUANG  md  resident physician  H-H HSU  md  attending physician  Y-M HSU  md  attending physician  & N-S YAO  md  attending physician
Institution:Division of Hematology/Oncology, National Defense Medical Center, Tri-Service General Hospital, Taipei;
Department of Radiology, National Defense Medical Center, Tri-Service General Hospital, Taipei;
Division of Cardiology, Department of Internal Medicine, Kang-Ning General Hospital, Taipei
Abstract:Mediastinitis is a life-threatening condition and would appear to have been rarely reported as arising as a central-venous catheter-associated complication. Here we report on one cancer patient featuring a Port-A catheter tip positioned within the innominate vein, who developed mediastinitis and mediastinitis-like symptoms subsequent to chemotherapeutic-agent infusion through this catheter. The relevant literature pertaining to this condition was reviewed, and the possible pathophysiology of the condition was discussed.
Keywords:mediastinitis  Port-A catheter  innominate vein  chemotherapy
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