oa South African Medical Journal - Tropical primary phlebitis : thrombophlebitis : with some remarks on its clinical features and treatment
The clinical features of tropical phlebitis are descriptionbed and a case in which both external jugular veins were thrombosed with the production of marked oedema of the eyes and face, resembling nephritis, is recorded. Lumbar sympathetic block is a useful form of treatment in tropical phlebitis affecting the femoral vein in its early stages when there is fever and much swelling. Its execution is easy. The arterial spasm in this disorder may indicate the simultaneous occurrence of an arteritis and may perhaps account for the occasional case of unexplained gangrene in an extremity or extremities, found in the African.
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