Lemierre’s Syndrome as a Sexually Transmitted Disease Due to Porphyromonas asaccharolytica Suspected to Be Caused by Pharyngitis Due to Mycoplasma pneumoniae and Epstein-Barr Virus

Porphyromonas asaccharolytica rarely causes Lemierre's syndrome (LS), which is characterised by sepsis and thrombophlebitis of the internal jugular vein.An 18-year-old man presented with fever and a sore throat after sexual contact containing oral sex, and his blood sample was positive for atyp...

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Published in:Curēus (Palo Alto, CA) CA), 2022-08, Vol.14 (8)
Main Authors: Ueno, Kota, Horiuchi, Hiroshi, Utada, Syusuke, Shinomiya, Yoshie, Sogo, Azusa, Miyagawa, Takao, Niida, Shoko, Okano, Hiromu, Suzuki, Naoya, Otsuka, Tsuyoshi, Miyazaki, Hiroshi, Furuya, Ryosuke
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Antigens
Bacteria
Blood clots
Case reports
Emergency Medicine
Epstein-Barr virus
Fever
Infections
Infectious Disease
Internal Medicine
Laboratories
Lymphocytes
Mononucleosis
Neck pain
Neutrophils
Patients
Proteins
Sexually transmitted diseases
STD
Tomography
Veins & arteries
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Summary:Porphyromonas asaccharolytica rarely causes Lemierre's syndrome (LS), which is characterised by sepsis and thrombophlebitis of the internal jugular vein.An 18-year-old man presented with fever and a sore throat after sexual contact containing oral sex, and his blood sample was positive for atypical lymphocytes. Infectious mononucleosis was suspected initially. However, laboratory data showed elevated D-dimer and procalcitonin levels, and a computed tomography scan showed a thrombus in the internal jugular vein leading to the diagnosis of LS. The Mycoplasma pneumoniae (MP) IgM titre was 1:640 (normal, ≦1:40), and the Epstein-Barr nuclear antigen titre (taken 59 days after admission) was 1:10 (normal,
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.28219