A Case of Embolic Spread of Fusobacterium necrophorum From Presumed Pharyngitis
| Autor: | Umar N Said, Khalid A Al-Hashimi |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pulmonology ved/biology.organism_classification_rank.species Infectious Disease Thrombophlebitis thrombophlebitis sepsis Sepsis Otolaryngology Lemierre's syndrome Fusobacterium necrophorum medicine Internal jugular vein Disseminated intravascular coagulation fusobacterium necrophorum ved/biology business.industry lemierre's syndrome pharyngitis General Engineering medicine.disease Pharyngitis Surgery Pneumonia medicine.symptom business |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.18865 |
| Popis: | Fusobacterium necrophorum is the most common pathogen isolated in individuals diagnosed with the rare and life-threatening illness known as Lemierre’s syndrome. Lemierre’s syndrome commonly involves a triad of infection in the oropharyngeal region, thrombophlebitis of the internal jugular vein, and distant metastases of said infection. Our case involves an embolic spread of F. necrophorum to the lungs, which was presumed to have originated in the pharynx, in the absence of internal jugular vein thrombosis. The clinical course of the patient was further complicated by an initial diagnosis of community-acquired pneumonia, severe sepsis, and disseminated intravascular coagulation. After suitable input from the multi-disciplinary team and adequate antibiotic therapy, the patient demonstrated a positive outcome with complete recovery to her baseline. |
| Databáze: | OpenAIRE |
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