Early Antibiotic Treatment May Prevent Complete Development of Lemierre's Syndrome: Experience from 2 Cases
Autor: | Yaniv Sherer, Joseph Mishal, Octavian Leibovici |
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Rok vydání: | 2000 |
Předmět: |
Adult
Male Microbiology (medical) medicine.medical_specialty Fulminant Amoxicillin-Potassium Clavulanate Combination Thrombophlebitis Lemierre's syndrome medicine Sore throat Humans Septic thrombophlebitis Internal jugular vein Antibacterial agent General Immunology and Microbiology business.industry Clindamycin Pharyngitis Syndrome General Medicine medicine.disease Anti-Bacterial Agents Surgery Tonsillitis Infectious Diseases Drug Therapy Combination Jugular Veins medicine.symptom business |
Zdroj: | Scandinavian Journal of Infectious Diseases. 32:706-707 |
ISSN: | 1651-1980 0036-5548 |
Popis: | Lemierre's syndrome is a rare fulminant condition caused by an acute oropharyngeal infection, with secondary septic thrombophlebitis of the internal jugular vein complicated by multiple metastatic infections. Herein we report 2 patients with internal jugular vein thrombosis secondary to oropharyngeal infection, whose clinical course was indolent, and who were asymptomatic shortly after antibiotic therapy was begun. Careful examination of the neck in patients presenting with sore throat could help identify the typical 'cord sign'. In such cases, intravenous antibiotic treatment should be started as soon as possible to prevent development of metastatic infections and septicaemia characterizing Lemierre's syndrome. |
Databáze: | OpenAIRE |
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