Lemierre syndrome leading to an ischaemic stroke and malignant cerebral oedema

Lemierre syndrome is an often misdiagnosed disease caused by an anaerobic bacterial infection that produces thrombophlebitis of the internal jugular vein and septic metastasis to distal organs, especially the lungs. Carotid stenosis or thrombosis is a rare complication. We present a patient with Lem...

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Bibliographic Details
Published in:BMJ case reports 2021-07, Vol.14 (7), p.e243690
Main Authors: Carballo Cuello, Cesar, De Jesus, Orlando, Labat, Eduardo J, Pastrana, Emil A
Format: Article
Language:English
Subjects:
Antibiotics
Brain Edema - diagnostic imaging
Brain Edema - etiology
Brain Ischemia - etiology
Carotid arteries
Case Report
Case reports
Edema
Humans
Ischemic Stroke
Jugular Veins - diagnostic imaging
Lemierre Syndrome - complications
Lemierre Syndrome - diagnosis
Medical diagnosis
Medical imaging
Mortality
Neuroimaging
Neurosurgery
Ostomy
Sinuses
Stroke
Stroke - etiology
Systematic review
Thromboembolism
Thrombosis
Veins & arteries
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Description
Summary:Lemierre syndrome is an often misdiagnosed disease caused by an anaerobic bacterial infection that produces thrombophlebitis of the internal jugular vein and septic metastasis to distal organs, especially the lungs. Carotid stenosis or thrombosis is a rare complication. We present a patient with Lemierre syndrome who developed malignant cerebral oedema secondary to an ischaemic stroke which required a decompressive craniectomy.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-243690