Lemierre Syndrome Complicating Otitis Externa: Case Report and Literature Review
| Autor: | Mark D. Gibbons, David C. Hile, Lisa M. Hile |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
business.industry Septic shock medicine.drug_class ved/biology Antibiotics ved/biology.organism_classification_rank.species Lemierre Syndrome Emergency department medicine.disease Thrombosis Dermatology Surgery Otitis Media Young Adult Otitis Fusobacterium necrophorum Emergency Medicine medicine Humans Female Septic thrombophlebitis medicine.symptom business Internal jugular vein |
| Zdroj: | The Journal of Emergency Medicine. 42:e77-e80 |
| ISSN: | 0736-4679 |
| Popis: | Background: Septic thrombophlebitis of the internal jugular vein, known as Lemierre syndrome, is a rare disorder usually caused by Fusobacterium necrophorum , a Gram-negative anaerobic organism that normally inhabits the oropharynx. Lemierre syndrome usually follows primary oropharyngeal infections and affects previously healthy adolescents and young adults in a characteristic manner, often with fatal results if left untreated. There have been a significantly increasing number of reported cases of Lemierre syndrome, possibly reflecting the trend to withhold antibiotics for initially uncomplicated oropharyngeal infections. Objectives: We hope to alert the reader to a potentially fatal disease process that has recently been increasingly identified, by reporting a unique manifestation of Lemierre syndrome, and by reviewing the current literature. Case Report: A 19-year-old woman presented to our Emergency Department with a chief complaint of fever, ear pain, and generalized weakness. She was noted to be in septic shock, with left neck erythema and swelling. A computed tomography scan showed thrombosis of the left internal jugular vein (IJV), which was later excised. She recovered after a course of intravenous and oral antibiotics. Conclusion: Septic thrombophlebitis of the IJV is associated with multiple sources and organisms. This case is unique in both the organism ( Peptococcus anaerobius ) and the source (otitis externa). This disease process must be identified early and aggressively treated to avoid significant morbidity and mortality. |
| Databáze: | OpenAIRE |
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