G Maneenil, W Janjindamai, S Dissaneevate, A Thatrimontrichai

Abstract

Recently, the use of percutaneously inserted central catheters (PICCs) is the mainstay procedure in premature infants, requiring long-term venous access for administration of medications and parenteral nutrition. The complications associated with PICCs placement have been reported including malposition, infection, thrombosis and catheter migration. We reported an extremely low birth weight infant presenting with lethargy associated with milky cerebrospinal fluid secondary to the administration of parenteral nutrition through right saphenous vein indwelling central catheter.