— Female 39 years old

— Stroke 2006 of unknown etiology

– Prothrombin gene mutation

– No DVT or PE

— 8 years later presented to the ER with significant pain, erythema and mild swelling in the right forearm and arm.

— She had a line placed at the wrist 8 days ago. She developed some ache and discomfort at the insertion site in the next 2 days that became worst over time leading to erythema, increased skin temperature and pain from the wrist to mid-arm.

— She was admitted and was placed on antibiotics and LMWH.