Malposition of a central venous catheter causing intracranial septic thrombophlebitis

A one-year-old baby with short bowel syndrome and malrotation had received parenteral nutrition via a central venous catheter for eight months. She had had repeated episodes of sepsis. A gallium scan showed abnormal tracer uptake in the right temporal and occipital areas adjacent to the venous catheter. Temporal bone CT revealed the curved tip of the catheter inside the right jugular foramen and an extra-axial elongated calcified lesion. Reactive thickening of the right transverse sinus wall indicated septic thrombophlebitis.