Unusual Case of Lemierre's Syndrome

Overview

Journal BMJ Case Rep

Specialty General Medicine

Date 2018 Dec 21

PMID 30567118

Citations 6

Authors

Issrah I Jawad

Arjun Chandna

Stephen Morris-Jones

Sarah Logan

Affiliations

Soon will be listed here.

Abstract

A young previously healthy patient presented with sepsis and cavitating pneumonia. was isolated from blood cultures and subsequent CT neck showed an internal jugular vein thrombosis. Treatment was with antibiotics, anticoagulation and supportive management. Lemierre's syndrome is an infectious thrombophlebitis of the internal jugular vein. Although a rare diagnosis since the use of penicillin for treatment of acute pharyngitis, it is being reported with increasing frequency. Usually associated with spp, we believe that this is the first reported case of Lemierre's caused by an anaerobic member of the human oral cavity flora, usually associated with localised periodontal disease. The bacillus was isolated from blood during the acute presentation.

Citing Articles

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