Case report: doxycycline instillation used to treat a high-output lymphatic fistula secondary to needle puncture
Singh, K.; Wang, M.L.; Rubinshteyn, V.; Sticco, C.; Deitch, J.
Journal of Wound Care 20(4): 171-172
2011
ISSN/ISBN: 0969-0700 PMID: 21537304 Document Number: 653814
Previous reports have documented the use of doxycycline as a sclerosing agent in the treatment of recurrent pleural effusion and pneumothoracies. However, little is currently known of its use in the closure of lymphatic fistulae. This paper presents a case in which an infusion of doxycycline was used in a patient who had developed the unusual complication of a high-output lymphatic fistula, following a femoral needle puncture. As no standard of care has been established in the treatment of this problem, we embarked on a minimally-invasive course of action, using doxycycline as a sclerosing agent. We found this treatment to be effective, with no complications.