Unusual case of Lemierre’s syndrome
| Autor: | Sarah Logan, Stephen Morris-Jones, Arjun Chandna, Issrah Jawad |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Adult Male medicine.medical_specialty Computed Tomography Angiography 030106 microbiology Penicillins Acute Pharyngitis Thrombophlebitis Sepsis Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Lemierre's syndrome medicine Humans Internal jugular vein Venous Thrombosis Unusual Presentation of More Common Disease/Injury biology business.industry Campylobacter rectus Anticoagulants Pharyngitis 030206 dentistry General Medicine Lemierre Syndrome Pneumonia medicine.disease biology.organism_classification Surgery Anti-Bacterial Agents Treatment Outcome Fusobacterium Acute Disease Jugular Veins business Tomography X-Ray Computed |
| Zdroj: | BMJ Case Rep |
| Popis: | A young previously healthy patient presented with sepsis and cavitating pneumonia. Campylobacter rectus was isolated from blood cultures and subsequent CT neck showed an internal jugular vein thrombosis. Treatment was with antibiotics, anticoagulation and supportive management. Lemierre’s syndrome is an infectious thrombophlebitis of the internal jugular vein. Although a rare diagnosis since the use of penicillin for treatment of acute pharyngitis, it is being reported with increasing frequency. Usually associated with Fusobacterium spp, we believe that this is the first reported case of Lemierre’s caused by C. rectus—an anaerobic member of the human oral cavity flora, usually associated with localised periodontal disease. The bacillus was isolated from blood during the acute presentation. |
| Databáze: | OpenAIRE |
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