Percutaneous central line extravasation masquerading as an abscess

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“A preterm baby, who had a percutaneous central line inserted developed an erythematous swelling over the infraclavicular area.” Govind et al (2014).

Reference:

Govind, B., Tete, P.I. and Thomas, N. (2014) Percutaneous central line extravasation masquerading as an abscess. Indian Pediatrics. 51(4), p.309-10.

Abstract:

BACKGROUND: Percutaneous central line insertion is a common procedure in the neonatal intensive care unit.

CASE CHARACTERISTICS: A preterm baby, who had a percutaneous central line inserted developed an erythematous swelling over the infraclavicular area.

OBSERVATION: A diagnosis of abscess was made, and an incision and drainage done that revealed a white fluid with high triglyceride content, confirming lipid extravasation.

OUTCOME: The lesion healed completely few days after removal of the catheter.

MESSAGE: This case highlights the importance of proper placement and confirmation of central line position.

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