A 55 year old man admitted to the ICU for sepsis, recovering multi-organ failure with persistent culture-negative fever.
Longitudinal view of the left internal jugular vein.
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Thrombosed internal jugular catheter. This patient was anticoagulated. The fever disappeared within a few days and the thombosis decreased significantly. It is difficult to be certain whether the fever was a cause but examining central lines is part of our fever workup.