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Query: UMLS:C0343525 (
Lemierre's syndrome
)
443
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
A sore throat, which is most commonly viewed as a minor ailment, can be a manifestation of a life-threatening disorder known as
Lemierre's syndrome
caused by Fusobacterium necrophorum. We report a new case of
Lemierre's syndrome
that occurred in an otherwise healthy 18-year-old woman, who initially presented with fever and sore throat. The diagnosis was not made until a week later when blood cultures became available. This syndrome should be suspected until proven otherwise in any patient with signs of pharyngitis, a painful swollen neck, and pulmonary symptoms. By presenting this curable, but potentially life-threatening case of
Lemierre's syndrome
, we hope to increase the awareness of the early clinical manifestations of
Lemierre's syndrome
and to emphasize the importance of careful physical examination with special attention to the neck. Clinicians should be aware that exclusion of streptococcal infection in a patient with severe tonsillar infection does not exclude a bacterial cause.
J
Gen
Intern Med 2009 Jul
PMID:A sore throat--potentially life-threatening? 1943 Sep 36
Descending necrotizing mediastinitis is a severe infection of the mediastinum.
Lemierre's syndrome
manifests as thrombophlebitis in the cervical veins, which is caused by a neck infection. A 50-year-old woman had a fever with a 13-day history of neck pain. CT showed a deep neck abscess with vertebral vein thrombosis and mediastinal abscesses. Multiple small pulmonary nodules were found, suggesting septic pulmonary embolism. Emergency surgery for bilateral cervical and mediastinal drainage was performed, and antibiotics and anticoagulation agent was administered. Edoxaban was required to clear vein thrombosis and pulmonary embolization.
Gen
Thorac Cardiovasc Surg 2017 Nov
PMID:Descending necrotizing mediastinitis with Lemierre's syndrome. 2815 61
We report a 24-year-old previously healthy woman with
Lemierre's syndrome
following influenza A virus infection. One week after influenza A was diagnosed by rapid antigen test and treated by oseltamivir, she developed multiple cavitary lung lesions, and a left internal jugular vein thrombosis. The blood culture grew Fusobacterium necrophorum. We administered ampicillin-sulbactam and unfractionated heparin to which she responded very well. Although viral infections have been related to
Lemierre's syndrome
, influenza virus rarely implicated.
Lemierre's syndrome
should be included in the differential diagnoses of rare complications of influenza virus infection.
J
Gen
Fam Med 2020 Mar
PMID:Lemierre's syndrome complicating influenza A virus infection. 3216 97