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Angiology
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Drug Injection in Jugular Veins: A New Risk Factor for Vascular Diseases in HIV-Infected Patients?

A Case Report

Paolo Maggi

Clinic of Infectious Diseases, University of Bari

Martina Fullone

Chair of Vascular Surgery, University of Bari, Italy

Maria Federico

Clinic of Infectious Diseases, University of Bari

Gioacchino Angarano

Clinic of Infectious Diseases, University of Bari

Giuseppe Pastore

Clinic of Infectious Diseases, University of Bari

Guido Regina

Chair of Vascular Surgery, University of Bari, Italy

The authors describe a rare case of diffused thrombosis of the superficial veins in the whole body and periphlebitis with perivascular abscesses in an human immunodeficiency virus (HIV)-infected drug abuser who was using neck veins to inject cocaine and heroin. In addition the patient presented oral candidiasis, hepatitis C virus infection, bronchop neumonitis, and endocarditis of the tricuspid valve with valvular failure. The conditions of the patient needed repeated vascular catheterizations for therapy administration. Similar pathologies, in HIV-infected patients, highly increase the risk of opportunistic infections, especially in the encephalic territory; in addition the need for vascular catheterizations represents a further risk factor for bacterial infections.

Angiology, Vol. 46, No. 11, 1049-1052 (1995)
DOI: 10.1177/000331979504601112
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