Septic Thrombophlebitis Complicating a Peripherally Inserted Central Catheter
Bibliographic record
Abstract
Peripherally inserted central venous catheters are associated with several complications. Thrombosis, catheter-related infection and phlebitis are well-recognized complications. However, septic thrombophlebitis is very rare. We describe a 44-year-old patient with heart failure who developed extensive septic thrombophlebitis of the right internal jugular, brachicephalic, facial veins and superior vena cava as a complication of prolonged use of a peripherally inserted central venous catheter that was inserted for dobutamine infusion. The catheter was displaced into the internal jugular vein by manipulation of the patient who used it for injection of illegal drugs. Blood cul tures grew Citrobacter amalonaticus and Coagulase-negative Staphylococcus with the former growing more often making it the more likely causative agent. The patient was treated successfully with antibiotics and anticoagulation. To our knowledge Citrobacter amalonaticus has not been previously recognized to be associated with septic th rombophlebitis. doi:10.4021/jmc560w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.004 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".