A rare, but life-threatening sore throat: A case of Lemierre's syndrome.


Journal

Acute medicine
ISSN: 1747-4892
Titre abrégé: Acute Med
Pays: England
ID NLM: 101553725

Informations de publication

Date de publication:
2021
Historique:
entrez: 22 3 2021
pubmed: 23 3 2021
medline: 25 3 2021
Statut: ppublish

Résumé

We present the case of a previously healthy, immunocompetent male with Lemierre's Syndrome. He presented with headache, sore throat and pyrexia. Initial blood tests revealed raised inflammatory markers and electrolyte abnormalities. Blood cultured Fusobacterium necrophorum. He developed respiratory distress and imaging confirmed lung abscess and empyema due to septic emboli. He required surgical drainage and a prolonged course of antibiotics. This case highlights the rare, but life-threatening condition of Lemierre's Syndrome. We discuss the importance of prompt recognition and early antibiotic therapy.

Identifiants

pubmed: 33749697

Substances chimiques

Anti-Bacterial Agents 0

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

78-82

Auteurs

A McCleane (A)

MB, BCh, BAO, MRCP, Acute Medicine Unit, Wards 7B and 7C, Royal Victoria Hospital, Belfast.

M Hunter (M)

MB, BCh, BAO, FRCP, Department of Infectious Diseases, Royal Victoria Hospital, Belfast.

P C Johnston (PC)

MB, BCh, BAO, FRCP, MD, Acute Medicine Unit, Wards 7B and 7C, Royal Victoria Hospital, Belfast.

M Trimble (M)

MB, ChB, MSc, MMSc, MA, FRCP, FAcadMEd, Department of Infectious Diseases, Royal Victoria Hospital, Belfast.

J Malloy (J)

MB, BCh, BAO, FRCR, Department of Radiology, Imaging Centre, Royal Victoria Hospital, Belfast.

I R Wallace (IR)

MB, BCh, BAO, FRCP, PhD, Acute Medicine Unit, Wards 7B and 7C, Royal Victoria Hospital, Belfast.

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Classifications MeSH