Lesson of the month 1: Lemierre's syndrome: a reminder of the ‘forgotten disease’
| Autor: | Zozik Fattah, Vivek Vijay |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
0301 basic medicine Pediatrics medicine.medical_specialty Metastatic lesions 030106 microbiology ved/biology.organism_classification_rank.species Disease Thrombophlebitis Young Adult 03 medical and health sciences 0302 clinical medicine Metronidazole Sepsis Lemierre's syndrome Fusobacterium necrophorum medicine Humans Medical History Taking Lesson of the Month Vein business.industry ved/biology Penicillin G Ultrasonography Doppler Lemierre Syndrome Peritonsillar Abscess General Medicine medicine.disease Anti-Bacterial Agents Suppurative thrombophlebitis Early Diagnosis Treatment Outcome medicine.anatomical_structure Drainage Jugular Veins business 030217 neurology & neurosurgery |
| Zdroj: | Clinical Medicine. 18:100-102 |
| ISSN: | 1473-4893 1470-2118 |
| Popis: | Lemierre’s syndrome is a condition characterised by suppurative thrombophlebitis of the internal jugular (IJ) vein following a recent oropharyngeal infection, with resulting septicaemia and metastatic lesions. It is strongly associated with Fusobacterium necrophorum, a Gram-negative bacilli. Key to early diagnosis is awareness of the classical history and course of this illness, and therefore to ask about a history of recent oropharyngeal infections when a young patient presents with fever and rigors. Diagnosis can be confirmed by showing thrombophlebitis of the IJ vein, culturing F necrophorum from normally sterile sites or demonstrating metastatic lesions in this clinical setting. The cornerstone of management is draining of purulent collection where possible and prolonged courses of appropriate antibiotics. In this article, we review a case study of a young man with Lemierre’s syndrome and discuss the condition in more detail. |
| Databáze: | OpenAIRE |
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