An atypical case of Lemierre syndrome following oropharyngeal infection.
10.7180/kmj.2018.33.1.110
- Author:
Seo Yeon YANG
1
;
Hae Yeul PARK
;
Kyoung Hwa LEE
;
You Jin CHUN
;
Hyo Eun KIM
;
Seong Han KIM
;
Su Jin JEONG
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Gangnam Severance Hospitial, Seoul, Korea. JSJ@yuhs.ac.kr
- Publication Type:Case Report
- Keywords:
Empyema;
Fusobacterium;
Lemierre syndrome;
Thrombophlebitis
- MeSH:
Adult;
Bacterial Infections;
Central Nervous System;
Diagnosis;
Empyema;
Fusobacterium;
Fusobacterium necrophorum;
Head;
Humans;
Jugular Veins;
Kidney;
Lemierre Syndrome*;
Liver;
Lung;
Mortality;
Neck;
Thrombophlebitis
- From:Kosin Medical Journal
2018;33(1):110-116
- CountryRepublic of Korea
- Language:English
-
Abstract:
Lemierre syndrome is characterized by anaerobic bacterial infection in the head and neck and clinical or radiological evidence of internal jugular vein thrombophlebitis. The most common pathogens are Fusobacterium species, particularly Fusobacterium necrophorum. Septic emboli resulting from infected thrombophlebitis of the internal jugular vein leads to metastatic infections involving lung, liver, kidney, bone and central nervous system. The accurate diagnosis and treatment is important because it may be associated with a high mortality rate if untreated. We present a case of 28-year-old man with an atypical history for the diagnosis of Lemierre syndrome, which showed no definite evidence of internal jugular thrombophlebitis.
