Not in Our Neck of the Woods: An Atypical Presentation of Lemierre’s Syndrome

Saurman, V.E.; Kharayat, Priyanka; Browning, C.; Butler, Amy K.

doi:10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3412

Cited by 1 publication

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“…Use of anticoagulants is still debatable, as no specific guidelines on treating LS are present. 10 , 11 Many recent cases reported in pediatric population have used some form of anticoagulants, 12 - 14 which seemed to have reduced or slowed the progression of thrombosis. The use of anticoagulants is still questionable though, as there is lack of evidence.…”

Section: Discussionmentioning

confidence: 99%

Lemierre’s syndrome in a child

Hemani

Anjum²,

Akhtar³

et al. 2021

Pak J Med Sci

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Lemierre’s Syndrome (LS) is a rare syndrome most frequently due to an anaerobic organism, Fusobacterium Necrophorum. It is commonly a complication of an acute oropharyngeal infection, but there are exceptions to its presentations. In our case the cause of LS was otitis media caused by Streptococcus species. This is a rather unusual presentation of LS. LS is caused due to septic complications of oropharyngeal infections, which lead to thrombophlebitis of internal jugular vein leading to thrombosis formation. In this case report, we present a case of Lemierre’s syndrome in a seven-year-old male child. The patient presented with high grade fever spikes and earache, which were unresponsive to oral antibiotics. LS was diagnosed in this patient on the basis of clinical, microbiological and radiological findings. After the diagnosis, treatment involved using broad spectrum antibiotics and anticoagulants, followed by surgery. Though role of anticoagulants is controversial in LS, but there is no specific guideline contraindicating the use of anti-coagulants. In our case, timely diagnosis and management enabled us to discharge the patient without any symptoms. doi: https://doi.org/10.12669/pjms.38.ICON-2022.5773 How to cite this:Hemani F, Naveed A, Akhtar S, Shahid S. Lemierre’s syndrome in a child. Pak J Med Sci. 2022;38(2):433-435. doi: https://doi.org/10.12669/pjms.38.ICON-2022.5773 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%