A Case of Superior Vena Cava Syndrome Caused by Klebsiella Pneumonia.

Kim, Ju Young; Lim, Chae Man; Kim, Seon Hee; Chu, Yun Ho; Koh, Youn Suck; Kim, Woo Sung; Kim, Won Dong

doi:1994.41.1.58

Tuberc Respir Dis > Volume 41(1); 1994 > Article

Case Report

Tuberculosis and Respiratory Diseases 1994;41(1):58-62.
DOI: https://doi.org/10.4046/trd.1994.41.1.58 Published online February 1, 1994.

A Case of Superior Vena Cava Syndrome Caused by Klebsiella Pneumonia.

Ju Young Kim, Chae Man Lim, Seon Hee Kim, Yun Ho Chu, Youn Suck Koh, Woo Sung Kim, Won Dong Kim

Abstract

Superior vents lava(SVC) syndrome is mostly related to a malignant process, but many different benign causes haute also been described. We report a case of SVC syndrome caused by Klebsiella pneumonia diagnosed by sputum culture and serial chest X-ray changes. A 27-year-old man had been in stable health until three days before admission, when he complained of pleuritic chest pain, facial flushing, and shortness of breath. Examination of the head and neck disclosed edema of face and both arms, and jugular venous distention to the angle of the jaw. The chest auscultation resealed decreased breath sound without crackle on right upper lung field. The chest roentgenogram showed homogenous air space consolidation on right upper lobe, asociated with downward displacement of minor fissure and contralateral displacement of trachea, but air bronchogram was not seen. We began antibiotic therapy under impression of pneumonia after assailable culture was taken from blood and sputum. SVC scintigraphy showed stasis of drain of right brachiocephalic vein at the proximal portion with reflux into the right internal jugular vein and faintly visible SVC via the collaterals. Sputum culture resealed Klebsiella pneumoniae. Antibiotic therapy resulted in a cure of infection and disappearance of facial swelling. Follow-up SVC scintigraphy after 20 days showed normal finding. We first report a case of SVC syndrome caused by klebsiella pneumonia

Key Words: Superior vena cave syndrome, Klebsiella pneumonia