Lemierre's Syndrome: A Case Report

Lemierre's syndrome is a rare condition characterized by septic thrombophlebitis of the internal jugular vein secondary to infection of the head and neck region and septic embolization to other organs. The most frequent etiological agent is , a commensal anaerobic gram-negative bacillus of the...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-01, Vol.15 (1), p.e34473
Main Authors: Santos, Leticia, Monteiro, Filipa, Marques, Maria, Homem, Rita, Spencer, Vanda
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Antibiotics
Auscultation
Case reports
Cavitation
Debridement
Dyspnea
Embolization
Endocarditis
Fever
Hospitalization
Hypotheses
Infections
Infectious Disease
Internal Medicine
Medical imaging
Pleural effusion
Proteins
Pulmonology
Scintigraphy
Sepsis
Thrombosis
Tomography
Ultrasonic imaging
Veins & arteries
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Summary:Lemierre's syndrome is a rare condition characterized by septic thrombophlebitis of the internal jugular vein secondary to infection of the head and neck region and septic embolization to other organs. The most frequent etiological agent is , a commensal anaerobic gram-negative bacillus of the oral flora. We report the case of a young male who presented with chest pain after a dental procedure. He developed a masseterian phlegmon, thrombosis of the internal jugular vein, and embolization to the lung complicated by empyema. The diagnosis of Lemierre's syndrome was delayed by the negative blood cultures, but full recovery was achieved after appropriate broad-spectrum antibiotic coverage. Our main objective is to highlight the fact that a high clinical suspicion is required to establish the diagnosis of this rare syndrome.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.34473