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November 1961

IV. Septic Phlebitis

Arch Surg. 1961;83(5):790-792. doi:10.1001/archsurg.1961.01300170146032

Again in- the interest of brevity, I will confine the formal presentation to the subject of septic phlebitis, which is really a clinical entity depending upon the degree and extent of clinical manifestations, rather than a pathological entity which under a microscope can be distinguished from phlebothrombosis or thrombophlebitis per se.

Septic phlebitis concerns itself with the larger venous trunks leading from an inflammatory area since it is well-established that in any inflammatory process smaller venous channels are obviously involved in the reaction.

Usually, appropriate incision and drainage of the area, plus antibiotic therapy will handle adequately the localized phlebitic involvement of the smaller veins.

However, septicemia and septic emboli are manifestations which cause septic phlebitis to be considered a distinct ent and a complication of infection.

Neuhof * has described four [ill] tic forms: (1) thrombophlebitic with [ill] thrombus; (2) phlegmonous with no sible thrombus; (3) pyophlebitis with little external