Lemierre's syndrome—A diagnostic challenge

Bedan, Martin; Gloksin, Witold; Hagen, Trine Langfeldt

doi:10.1016/j.diagmicrobio.2023.116023

Diagnostic Microbiology and Infectious Disease

2023

DOI: 10.1016/j.diagmicrobio.2023.116023

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Lemierre's syndrome—A diagnostic challenge

Martin Bedan,

Witold Gloksin,

Trine Langfeldt Hagen

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Cited by 4 publications

References 16 publications

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A Rare Case of Lemierre’s Syndrome due to Veillonella Parvula: A Dangerous and Forgotten Complication of a Septic Condition

Montatore,

Zagaria,

Masino

et al. 2024

Indian J Otolaryngol Head Neck Surg

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This clinical case presents an unusual case of Lemierre’s syndrome (LS) in a young woman of 38-year-old. She arrived in the Emergency Department with a high fever and pharyngology resistant to antibiotic therapy with clarithromycin, ceftriaxone, and cortisone for two weeks. At the blood sampling, there is a marked leucocytosis, and the advice of the otolaryngologist is required given the strong pain in the throat. Due to the tonsillar abscess, a neck CT with a contrast medium is necessary for the otolaryngologist’s opinion. The CT shows thrombosis of the jugular vein and left subclavian, with thickening of soft perivascular tissues; these findings suggest Lemierre’s syndrome: a septic thrombophlebitis of the jugular vein that occurs as a complication of a peritonsillar abscess. The diagnostic process is then completed with a chest HR-CT, which reveals lung density and excavation areas suggesting tuberculosis. Blood culture reveals the presence of Veillonella Parvula (an anaerobic gram-negative coccus), sputum culture reveals the presence of some colonies of Enterobacter cloacae complex, real-time PCR examination on sputum reveals the presence of Streptococcus Pneumoniae and the borderline presence of rhinovirus. Microbiologists, after these results and neck and chest CT with a contrast agent, agree with the diagnosis of suspected LS at an early stage: a septic dissemination fortunately limited only to the neck and lungs region.

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A Rare Case of Lemierre’s Syndrome due to Veillonella Parvula: A Dangerous and Forgotten Complication of a Septic Condition

Montatore,

Zagaria,

Masino

et al. 2024

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

Lemierre syndrome: the clinical triad of tonsilitis, septic thrombophlebitis, and pulmonary infiltrates

Yale,

Tekiner,

Yale

2023

Diagnostic Microbiology and Infectious Disease

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Lemierre's syndrome: varying pathogens, clinical presentations and complications

Lampejo,

Alsheikh,

Crilly

et al. 2024

Diagnostic Microbiology and Infectious Disease

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Lemierre's syndrome—A diagnostic challenge

Cited by 4 publications

References 16 publications

A Rare Case of Lemierre’s Syndrome due to Veillonella Parvula: A Dangerous and Forgotten Complication of a Septic Condition

A Rare Case of Lemierre’s Syndrome due to Veillonella Parvula: A Dangerous and Forgotten Complication of a Septic Condition

Lemierre syndrome: the clinical triad of tonsilitis, septic thrombophlebitis, and pulmonary infiltrates

Lemierre's syndrome: varying pathogens, clinical presentations and complications

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