A Rare Case of Lemierre's Syndrome Caused by Streptococcus Intermedius, Presenting as an Epidural Abscess
| Autor: | Ambika Eranki, Zaid Siddique, Tarvinder Gilotra, Casey Tymko, Anupama B K |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Epidural abscess internal jugular vein thrombosis ved/biology.organism_classification_rank.species Neurosurgery Infectious Disease epidural abscess 030204 cardiovascular system & hematology Streptococcus intermedius streptococcus intermedius 03 medical and health sciences 0302 clinical medicine Fusobacterium necrophorum Lemierre's syndrome medicine Internal Medicine Septic thrombophlebitis Cerebral venous sinus thrombosis Internal jugular vein Odontogenic infection biology ved/biology business.industry lemierre's syndrome General Engineering medicine.disease biology.organism_classification Surgery business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Lemierre's syndrome is a rare but life-threatening condition characterized by an oropharyngeal infection typically secondary to Fusobacterium necrophorum resulting in septic thrombophlebitis of the internal jugular vein. Streptococcus intermedius is a particularly rare cause of Lemierre's syndrome with only a few cases reported in the literature. Here we describe a rare case of Lemierre's syndrome, caused by Streptococcus intermedius, likely secondary to an odontogenic infection, found to have a cervical epidural abscess with concomitant large retropharyngeal and prevertebral abscesses on presentation, in whom the clinical course was further complicated by an extensive cerebral venous sinus thrombosis. However, despite grave complications, early diagnosis and appropriate emergency management including intravenous antibiotics and surgical intervention led to a successful recovery, thus demonstrating that aggressive measures can potentially lead to a favorable outcome. |
| Databáze: | OpenAIRE |
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