Lemierre syndrome: a complication of acute pharyngitis

Lemierre Syndrome: A Case Report

“…The presence of jugular venous thrombophlebitis is considered a hallmark of the illness, though it is not always present. Blood cultures should confirm an anaerobic septicemia caused by Fusobacterium, but this may be negative because of the use of antibiotics prior to hospitalization (5). In our case, no pathologic organism was isolated, and this was probably due to the prior antibiotic therapy.…”

A previously healthy 15-year-old girl with high fever and progressive dyspnoea

“…Familiarity with the syndrome has therefore decreased. A rise in incidence has been reported [3,9] and it can still have a serious clinical course [2,3,9,10,12]. It especially affects previously fit adolescents and young adults, but also even younger children [2-5, 7, 12].…”

“…Determination of fibrin degradation products can help identify a thrombophlebitis. Ultrasound with Doppler of the neck may show a thrombus in one of the veins [2], but a CT scan has proved to be a better technique [4,6,12].…”

“…Auscultation can reveal crackles and pleural rub [8]. Imaging techniques show opacities which progress to cavitations and pleural effusions [2,8,12]. Septic arthritis [1,2,8,12] and osteomyelitis [7,9] also occur as well as soft tissue infections [2,9].…”

Síndrome de Guillain-Barré como complicação de amigdalite aguda

“…Ocorre basicamente após a formação da trombose da veia jugular interna e existem vários relatos na literatura. [4][5][6] No levantamento realizado, encontramos somente um relato da Síndrome de Guillain-Barré após amigdalite aguda. Morgan e Brookes 1 relataram três casos de amigdalite aguda que apresentaram comprometimento neurológico sem a formação de abscesso no espaço parafaríngeo.…”