Surgical intervention of Lemierre's syndrome: a case report and review of the literature.


Journal

Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382

Informations de publication

Date de publication:
31 May 2024
Historique:
received: 15 03 2024
accepted: 22 04 2024
medline: 31 5 2024
pubmed: 31 5 2024
entrez: 30 5 2024
Statut: epublish

Résumé

Lemierre's syndrome is a fatal and rare disease that is typically characterized by oropharyngeal infection and internal jugular vein thrombosis. Timely institution of appropriate antibiotics is the standard treatment. The authors report a case of Lemierre's syndrome. A 67-year-old male patient of Han ethnicity in China suffered from a large inflammatory neck mass involving left internal jugular vein thrombosis diagnosed as Lemierre's syndrome and finally cured by surgical treatment. In addition, a literature review was carried out through PubMed using the terms "Lemierre's syndrome/disease and review, meta-analysis or retrospective study" and "Lemierre's syndrome/disease and internal jugular vein". This search yielded six articles that recorded surgical methods such as drainage, craniotomy, tooth extraction, and ligation of the occluded vein to give clinicians more ideas about the treatment of the Lemierre's syndrome. This is the first review to summarize the conditions under which surgical treatment are conducted. Additionally, this is the first report of such a large inflammatory neck mass that was completely cured by surgical resection and internal jugular vein ligation. The authors also offer several conclusions regarding surgical intervention in Lemierre's syndrome for the first time.

Sections du résumé

BACKGROUND BACKGROUND
Lemierre's syndrome is a fatal and rare disease that is typically characterized by oropharyngeal infection and internal jugular vein thrombosis. Timely institution of appropriate antibiotics is the standard treatment.
CASE PRESENTATION METHODS
The authors report a case of Lemierre's syndrome. A 67-year-old male patient of Han ethnicity in China suffered from a large inflammatory neck mass involving left internal jugular vein thrombosis diagnosed as Lemierre's syndrome and finally cured by surgical treatment. In addition, a literature review was carried out through PubMed using the terms "Lemierre's syndrome/disease and review, meta-analysis or retrospective study" and "Lemierre's syndrome/disease and internal jugular vein". This search yielded six articles that recorded surgical methods such as drainage, craniotomy, tooth extraction, and ligation of the occluded vein to give clinicians more ideas about the treatment of the Lemierre's syndrome.
CONCLUSION CONCLUSIONS
This is the first review to summarize the conditions under which surgical treatment are conducted. Additionally, this is the first report of such a large inflammatory neck mass that was completely cured by surgical resection and internal jugular vein ligation. The authors also offer several conclusions regarding surgical intervention in Lemierre's syndrome for the first time.

Identifiants

pubmed: 38816729
doi: 10.1186/s13256-024-04584-2
pii: 10.1186/s13256-024-04584-2
doi:

Substances chimiques

Anti-Bacterial Agents 0

Types de publication

Journal Article Case Reports Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

265

Subventions

Organisme : National Natural Science Foundation of China
ID : 82101212
Organisme : National Natural Science Foundation of China
ID : 82301297
Organisme : National Natural Science Foundation of China
ID : 82101209
Organisme : National Natural Science Foundation of China
ID : 82301296
Organisme : Science and Technology Commission of Shanghai Municipality
ID : 21ZR1440200
Organisme : Science and Technology Commission of Shanghai Municipality
ID : 23ZR1440200
Organisme : Science and Technology Commission of Shanghai Municipality
ID : SHDC2020CR1044B-003

Informations de copyright

© 2024. The Author(s).

Références

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Auteurs

Yiqi Pan (Y)

Department of Otolaryngology and Head and Neck Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Zhihong Shi (Z)

Department of Otolaryngology and Head and Neck Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Bin Ye (B)

Department of Otolaryngology and Head and Neck Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Qian Da (Q)

Department of Pathology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Chaofu Wang (C)

Department of Pathology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Yilin Shen (Y)

Department of Otolaryngology and Head and Neck Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. SYL_estival@163.com.

Mingliang Xiang (M)

Department of Otolaryngology and Head and Neck Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. mingliangxiang@163.com.

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