Department of Ob-Gyn, BronxCare Hospital, Affiliate of Mt. Sinai School of Medicine, Bronx, NY, USA
Case Report
A Rare Case of Tissiarella praecuta in Gonadal Vein Thrombophlebitis
Author(s): Ashley Thakur*, Leonardo Ramos, Angelica Matteo, Ucia Di Francesco, Dara Forrester, Aruna Mishra and Magdy Mikhail
A 24-year-old female post-partum patient presented to the emergency department with right lower quadrant pain
that was present since her vaginal delivery a week ago and undulating episodes of fever and chills. Lab workup
was positive for Tissiarella praecuta blood cultures and elevated white blood cell count with a 92% neutrophil
shift. CT scan confirmed the diagnosis of gonadal vein thrombophlebitis demonstrating expansion of the right
gonadal vein with internal hypodensity suggesting a thrombus extending from the right adnexa to the IVC.
Collaborative, multi-disciplinary teamwork consisting of medicine, hematology, infectious disease, and surgery
resulted in steady improvement of the patient and discharge within one week. Prompt administration of IV
antibiotics and anti-coagulation were required for resolution of inflammation and steady recovery... View More»
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