Lemierre’s Syndrome : Rare, but Life Threatening—A Case Report with Streptococcus intermedius
Joint Authors
Gupta, Shalini
Merchant, Shehzad S.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-11-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Lemierre’s syndrome (LS) is a rare, but a life-threatening complication of an oropharyngeal infection.
Combinations of fever, pharyngitis, dysphagia, odynophagia, or oropharyngeal swelling are common presenting symptoms.
Infection of the lateral pharyngeal space may result in thrombosis of the internal jugular vein, subsequent metastatic complications (e.g., lung abscesses, septic arthritis), and significant morbidity and mortality.
LS is usually caused by the gram-negative anaerobic bacillus Fusobacterium necrophorum, hence also known as necrobacillosis.
We present a case of LS caused by Streptococcus intermedius, likely secondary to gingival scraping, in which the presenting complaint was neck pain.
The oropharyngeal examination was normal and an initial CT of the neck was done without contrast, which likely resulted in a diagnostic delay.
This syndrome can be easily missed in early phases.
However, given the potential severity of LS, early recognition and expedient appropriate antimicrobial treatment are critical.
S.
intermedius is an unusual cause of LS, with only 2 previous cases being reported in the literature.
Therefore, an awareness of the myriad presentations of this syndrome, which in turn will lead to appropriate and timely diagnostic studies, will result in improved outcome for LS.
American Psychological Association (APA)
Gupta, Shalini& Merchant, Shehzad S.. 2012. Lemierre’s Syndrome : Rare, but Life Threatening—A Case Report with Streptococcus intermedius. Case Reports in Medicine،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-486007
Modern Language Association (MLA)
Gupta, Shalini& Merchant, Shehzad S.. Lemierre’s Syndrome : Rare, but Life Threatening—A Case Report with Streptococcus intermedius. Case Reports in Medicine No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-486007
American Medical Association (AMA)
Gupta, Shalini& Merchant, Shehzad S.. Lemierre’s Syndrome : Rare, but Life Threatening—A Case Report with Streptococcus intermedius. Case Reports in Medicine. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-486007
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-486007