A Case of Lemierre Syndrome due to Fusobacterium necrophorum
| Autor: | Juichi Ito, Yoshiki Watanabe, Eriko Hoshi, Satoshi Sonoda |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Disseminated intravascular coagulation
medicine.medical_specialty Microbiological culture medicine.diagnostic_test business.industry ved/biology ved/biology.organism_classification_rank.species Tonsillitis Magnetic resonance imaging medicine.disease Thrombophlebitis Surgery Otorhinolaryngology Jugular vein Fusobacterium necrophorum otorhinolaryngologic diseases medicine Sore throat medicine.symptom business |
| Zdroj: | Practica Oto-Rhino-Laryngologica. 102:881-884 |
| ISSN: | 1884-4545 0032-6313 |
| DOI: | 10.5631/jibirin.102.881 |
| Popis: | We encountered a rare case of Lemierre syndrome. A 38-year-old man visited us due to his severe sore throat, general fatigue, high fever and poor intake of meals. He had slightly red swollen tonsils. Neck computed tomography (CT) showed no parapharyngeal abcess then. So we diagnosed him as peritonsillitis first, and started drip infusion of antibacterials and hydrocortisone to reverse his disease. He evidenced some disturbance in consciousness when seen that continued despite improvement in objective findings. So we put some tests including enhanced CT, magnetic resonance imagind (MRI), bacterial culture and blood studies yielded a diagnosis of Lemiere syndrome as defined by tonsillitis or peritonsillitis/peritonsillar abcess with thrombophlebitis of the jugular vein potentially causing disseminated intravascular coagulation (DIC) and critical damage. |
| Databáze: | OpenAIRE |
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