1.Lemierre Syndrome Caused by Arcanobacterium haemolyticum Alone in a Healthy Man
Kyoung Jin LEE ; Eo Jin KIM ; Seung Ji KANG ; Mi Ok JANG ; Hee Chang JANG ; Sook In JUNG ; Jong Hee SHIN ; Kyung Hwa PARK
Chonnam Medical Journal 2012;48(3):190-192
Arcanobacterium haemolyticum was isolated from the blood cultures of a previously healthy 37-year-old man who met all the criteria of Lemierre syndrome, including a primary oropharyngeal infection, evidence of thrombophlebitis of the internal jugular vein, and metastatic infections. To the best of our knowledge, this is the first case of Lemierre syndrome caused by A. haemolyticum in Korea and shows that A. haemolyticum alone can cause Lemierre syndrome.
Arcanobacterium
;
Jugular Veins
;
Korea
;
Lemierre Syndrome
;
Thrombophlebitis
3.Necrotizing Fasciitis on the Right Side of the Neck with Internal Jugular Vein Thrombophlebitis and Septic Emboli: A Case of Lemierre’s-Like Syndrome
Dang Nguyen ; Yazmin Yaacob ; Hamzaini Hamid ; Sobri Muda
Malaysian Journal of Medical Sciences 2013;20(5):70-78
Lemierre’s syndrome (LS) is a rare life-threatening infective condition typically starting with an oropharyngeal infection causing thrombophlebitis and metastatic abscesses. The most common aetiology of LS is Fusobacterium necrophorum; however, it can also occur after infection with other organisms. LS mainly affects young healthy adults. The initial infection site can be in the head and neck or in the abdomen. The morbidity rate of this disease is high despite aggressive treatments. In this article, we report a 63-year-old male patient with uncontrolled diabetes mellitus, presenting with Klebsiella pneumoniae infection-induced necrotizing fasciitis on the right side of the neck, leading to LS.
Fasciitis, Necrotizing
;
Lemierre Syndrome
;
Fusobacterium necrophorum
;
Klebsiella pneumoniae
5.Lemierre Syndrome with Septic Pulmonary Embolism: A case report.
Dong Gon YOO ; Chong Wook KIM ; Chong Bin PARK ; Geun Dong LEE ; Jae Hong AHN
The Korean Journal of Thoracic and Cardiovascular Surgery 2007;40(11):782-785
Lemierre syndrome is caused by an acute oropharyngeal infection with secondary septic thrombophlebitis of the internal jugular vein and frequent metastatic infections. The usual etiologic agent is Fusobacterium necrophorum. Lemierre syndrome was a common disease with a high mortality rate in the pre-antibiotic era. Since the advent of antibiotics and their widespread use for the treatment of pharyngeal infections, there has been a substantial decrease in the incidence of this malady and it has become a "forgotten disease". Prompt diagnosis and antibiotic therapy for Lemierre syndrome is essential to avoid morbidity and mortality. We describe here a case of Lemierre syndrome with multiple septic pulmonary emboli.
Anti-Bacterial Agents
;
Diagnosis
;
Fusobacterium necrophorum
;
Incidence
;
Jugular Veins
;
Lemierre Syndrome*
;
Mortality
;
Pharynx
;
Pulmonary Embolism*
;
Thrombophlebitis
6.Surgical Treatment of Lemierre's Syndrome: A case report.
Jung Hun OH ; Jung Cheul LEE ; Dong Hyup LEE ; Jang Hoon LEE ; Tae Eun JUNG ; Sung Sae HAN
The Korean Journal of Thoracic and Cardiovascular Surgery 2001;34(8):644-647
Lemierre's syndrome is characterized by a rare fulminant condition resulting from primary oropharyngeal infection followed by secondary septic thrombophlebitis of the internal jugular vein and metastatic infection. A forty-year-old man who had been on ventilator due to severe chest trauma, showed severe reddish inflammatory swelling of the right cervical soft tissue and newly developed pneumonia. He went into in septic condition shortly thereafter. Thrombophlebitis with central abscess in the right internal jugular vein was identified by neck CT and MRA(magnetic resonance angiography). Right cervical swelling worsened in spite of clindamycin and heparin therapy. We performed immediate surgery for removal of septic thrombus and resection of internal jugular vein. Patient's septic condition, pneumonia, and local inflammatory reaction were improved within several days after surgery.
Abscess
;
Clindamycin
;
Heparin
;
Jugular Veins
;
Lemierre Syndrome*
;
Neck
;
Pneumonia
;
Thorax
;
Thrombophlebitis
;
Thrombosis
;
Ventilators, Mechanical
7.A Case of Lemierre Syndrome Associated with Septic Pulmonary Emboli.
Eun Jin KIM ; Jae Hyoung PARK ; Chang Ho KIM ; Jae Yong PARK ; Tae Hoon JUNG ; Seung Ick CHA
Tuberculosis and Respiratory Diseases 2005;58(1):73-77
Lemierre syndrome is characterized by an acute oropharyngeal infection with secondary septic thrombophlebitis of the internal jugular vein and frequent metastatic infections such as septic pulmonary emboli and suppurative arthritis. In the preantibiotic era, this condition generally had a fatal outcome. The presentation is so distinctive that a clinical diagnosis is possible in most cases, and a cure is expected with the appropriate therapy in the majority of patients. We present a case report of Lemierre syndrome with a review of the relevant literature.
Arthritis, Infectious
;
Diagnosis
;
Fatal Outcome
;
Humans
;
Jugular Veins
;
Lemierre Syndrome*
;
Thrombophlebitis
8.A case of lemierre syndrome poorly responsive to medical treatment.
Tae Yun HEO ; Bock Hyun JUNG ; Nae Sun RYOU ; Hyoung Chu JOUNG ; Min Hyung CHO ; Mi Hye KIM ; Dae Sik RYU
Korean Journal of Medicine 2008;74(2):203-207
Lemierre syndrome is a rare clinical condition that is characterized by anaerobic oropharyngeal infections leading to septic thrombophlebitis of the internal jugular vein and frequent secondary metastatic infections. The accurate diagnosis and treatment, for early stage disease, is important because it may be associated with a high mortality rate if untreated. We present the case of a 34-year-old man who presented with a history of typical for the diagnosis of Lemierre syndrome. Supportive care with antibiotics did not improve the clinical condition. The clinical course improved after treatment with IV anticoagulant and surgical thrombectomy. In addition, he had the antiphospholipid syndrome, which is known to be a common cause of acquired arterial or venous thrombosis. Therefore, in this patient the associated antiphospholipid syndrome might precipitate an internal jugular venous thrombophlebitis after an oropharyngeal infection or might account for the poor response to medical treatment.
Adult
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Anti-Bacterial Agents
;
Antiphospholipid Syndrome
;
Empyema
;
Humans
;
Jugular Veins
;
Lemierre Syndrome
;
Pneumonia
;
Thrombectomy
;
Thrombophlebitis
;
Venous Thrombosis
9.A case of septic embolism after fever, sore throat, and myalgia.
Hong Ju MOON ; Kwang Seok EOM ; Jung Hwa LEE ; Won Seok CHEON ; Doo Ryun JUNG ; Dong Gyu KIM ; Ki Suck JUNG
Korean Journal of Medicine 2006;70(5):569-574
Lemierre syndrome or postanginal septicemia (necrobacillosis) is caused by an acute oropharygeal infection with secondary septic internal jugular vein thrombophlebitis and frequent metastatic infections. 17-aged girl visted emergency room with dyspnea. She had the symptoms of fever, sore throat and myalgia before 3 or 4 days. She had multiple septic emboli in both lung fields and septic thrombophlebitis of right internal jugular vein. Although Fusobacterium necrophorum is the most common pathogen isolated from the patients, The pathogen can not be confirmed. We experienced a case of Lemierre syndrome with septic embolism after fever, sore throat and myalgia. We present the case with the review of literature.
Dyspnea
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Embolism*
;
Emergency Service, Hospital
;
Female
;
Fever*
;
Fusobacterium necrophorum
;
Humans
;
Jugular Veins
;
Lemierre Syndrome
;
Lung
;
Myalgia*
;
Pharyngitis*
;
Sepsis
;
Thrombophlebitis
10.A Case of Lemierre Syndrome Manifests with Persistent Fever and Neck Stiffness Following Acute Oropharyngeal Infection.
Yena LEE ; Ye Seul HONG ; Sung Soo KIM
Pediatric Infection & Vaccine 2016;23(2):143-148
Lemierre syndrome is a rare disease involving multiple organs affected by septic emboli following oropharyngeal infection. After the introduction of penicillin in the 1940s, it became a "forgotten" disease. However, due to the development of diagnostic image modalities including neck computed tomography (CT) scan, the number of published reports of Lemierre syndrome and diagnosis has been increasing since the 1990s. In this report, we describe a case of Lemierre syndrome, following oropharyngeal infection in a 16-year-old patient, who manifested with persistent fever and neck stiffness. Neck ultrasonography confirmed thrombus formation in the right internal jugular vein without definite evidence of septic emboli to other organs. After the three-week-long antibiotics therapy was completed, the thrombus in the right internal jugular vein finally disappeared.
Adolescent
;
Anti-Bacterial Agents
;
Diagnosis
;
Fever*
;
Humans
;
Jugular Veins
;
Lemierre Syndrome*
;
Neck*
;
Penicillins
;
Rare Diseases
;
Thrombophlebitis
;
Thrombosis
;
Ultrasonography