A Lemierre-like syndrome caused by <i>Staphylococcus aureus</i>: an emerging disease

Hoecke, Frederik Van; Lamont, Bart; Leemput, Ann Van; Vervaeke, Steven

doi:10.1080/23744235.2019.1691255

Cited by 16 publications

(25 citation statements)

References 36 publications

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“…e germ involved is most often Fusobacterium necrophorum [3]. Cases of jugular thrombosis in the context of an infection whose origin is not oropharyngeal and whose germ is aerobic should be called a Lemierre-like syndrome because they do not correspond to the original definition [5,6]. First reported in 1936 by André Lemierre in a series of 20 cases, the Lemierre syndrome was very rare in the literature after 1940, to the point of being called "the forgotten disease" [2,9].…”

Section: Discussionmentioning

confidence: 99%

“…Among these new cases of the Lemierre syndrome, some are due to other germs other than Fusobacterium necrophorum and even to aerobic germs with other non-oropharyngeal infectious sites [5,11]. us, not all of these new cases meet the exact definition of the Lemierre syndrome and for some authors, these cases should be reported as the Lemierre-like syndrome [6,13].…”

Section: Discussionmentioning

confidence: 99%

“…It corresponds to a jugular venous thrombosis during oropharyngeal infection by an anaerobic germ (classically, Fusobacterium necrophorum) and may be complicated by septic metastases, most often pulmonary [3,4]. In the presence of jugular venous thrombosis in the context of a non-oropharyngeal or aerobic infection, it would be more appropriate to call it a Lemierre-like syndrome [5,6]. Cervicofacial cellulitis is one of the most frequent head and neck infectious emergencies and also one of the most serious [7].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cervicofacial Cellulitis due to Staphylococcus aureus with Jugular Vein Thrombosis and Multiple Septic Pulmonary Embolism: A Lemierre-Like Syndrome

Niang

Diouf

Diop

et al. 2022

Case Reports in Infectious Diseases

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This is the case of a 28-year-old male patient with no particular pathological history who presented with an inflammatory swelling of the right cheek with pus in an infectious context. Cervicofacial CT with contrast injection allowed the diagnosis of a right cervicofacial cellulitis, associated with a jugular venous thrombosis extending to the superior vena cava. It also revealed septic pulmonary metastases in the form of multiple excavated pulmonary nodules. The analysis of the pus sample allowed the isolation of Staphylococcus aureus as the causative germ. This led to the diagnosis of a Lemierre-like syndrome, which is a variant of the Lemierre syndrome. Despite appropriate antibiotic treatment and anticoagulation, the patient died after 16 days of hospitalization.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cervicofacial Cellulitis due to Staphylococcus aureus with Jugular Vein Thrombosis and Multiple Septic Pulmonary Embolism: A Lemierre-Like Syndrome

Niang

Diouf

Diop

et al. 2022

Case Reports in Infectious Diseases

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“…When the retrostyloid part is affected, clinical problems are less significant, but serious complications may occur when the infection spreads to the contents of the carotid sheath. These include infective internal jugular vein thrombosis (Lemierre’s syndrome), carotid artery aneurysm, Horner’s syndrome, cranial nerve IX–XII palsies, and mediastinitis and septicaemia [ 24 , 25 , 26 , 27 ].…”

Section: Relevant Anatomymentioning

confidence: 99%

Paediatric Deep Neck Infection—The Risk of Needing Intensive Care

et al. 2022

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Deep neck infections are potentially dangerous complications of upper respiratory tract or odontogenic infections. The pathophysiology, clinical presentation, and potential spreading depend on the complex anatomy of the neck fascia. These infections can lead to severe pathological conditions, such as mediastinitis, sepsis, and especially airway impairment with difficult management. Because of the risk of life-threatening emergency situations and the possible impacts on the overall health status of affected children, their early recognition is of utmost importance. Torticollis, drooling, and stridor are the most common signs of advancing disease. Children presenting with these symptoms should be admitted to the paediatric intensive care unit for vital function monitoring, where the airway could be readily secured if function is compromised.

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“…Los términos "SL atípico", "variante del SL" o "síndrome similar al de Lemièrre" también son utilizados para describir casos causados por bacterias distintas a Fusobacterium spp. o por patógenos no anaeróbicos (8,17). En un análisis reciente de 712 pacientes diagnosticados con SL, solo el 47% de los casos satisfacían la definición clásica; es decir, infección orofaríngea aguda con trombosis de cabeza o cuello/embolismo séptico y aislamiento de Fusobacterium spp.…”

Section: Microbiología Y Patogeniaunclassified

Síndrome de Lemièrre por Fusobacterium nucleatum: a propósito de un caso

2022

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El Síndrome de Lemierre es una patología poco frecuente, potencialmente mortal, que se produce por la trombosis venosa que envuelve la vena yugular interna posterior a la infección de vías respiratorias superiores por microorganismos anaerobios gram negativos. La inflamación producida puede provocar émbolos sépticos en otros órganos, como pulmones, tejidos blandos, bazo, hígado y cerebro. Esta condición fue llamada previamente “la enfermedad olvidada” debido a su rareza y a la poca familiaridad de los médicos con la misma. En este artículo se presenta el caso de una paciente femenina de 18 años, sana, en quien posterior a un cuadro agudo de faringoamigdalitis se documenta bacteremia por Fusobacterium nucleatum asociado a trombosis de la vena yugular izquierda y múltiples embolismos sépticos pulmonares.

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A Lemierre-like syndrome caused by Staphylococcus aureus: an emerging disease

Cited by 16 publications

References 36 publications

Cervicofacial Cellulitis due to Staphylococcus aureus with Jugular Vein Thrombosis and Multiple Septic Pulmonary Embolism: A Lemierre-Like Syndrome

Cervicofacial Cellulitis due to Staphylococcus aureus with Jugular Vein Thrombosis and Multiple Septic Pulmonary Embolism: A Lemierre-Like Syndrome

Paediatric Deep Neck Infection—The Risk of Needing Intensive Care

Síndrome de Lemièrre por Fusobacterium nucleatum: a propósito de un caso

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