Reverse Lemierre’s syndrome: a case report

Talupula, Ram Manohar; Ray, Animesh; Manchanda, Smita; Sood, Rita

doi:10.4103/ejb.ejb_93_17

Cited by 2 publications

(2 citation statements)

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“…A search of literature showed similar case reports by Mathew et al [17] and Talupula et al [18] which also highlighted the need for prompt diagnosis of associated septic thrombophlebitis and pulmonary embolism in pyomyositis cases for good treatment outcomes. Treatment in such cases consists of supportive therapy with intravenous antibiotics, anti-coagulation along with surgical debridement/drainage.…”

Section: Discussionsupporting

confidence: 67%

Pyomyositis with Iliac Vein Thrombophlebitis and Septic Pulmonary Embolism: A Unique Case of Reverse Lemierre Syndrome

Joshi¹,

Verma²,

Kamat³

et al. 2021

JCR

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Background:The reverse Lemierre's syndrome refers to a septic thrombosis in noncervical sites. Case Report: A 40 years old diabetic patient presented with fever and acute onset pain in left gluteal region radiating to left thigh. Magnetic resonance imaging (MRI) showed pyomyositis and internal iliac vein thrombosis. Computed tomography (CT) venography showed non-enhancing filling defects within common iliac propagating into internal iliac veins along with intramuscular abscesses while whole body positron emission tomography (PET-CT) revealed bilateral scattered pulmonary nodules suggestive of septic emboli. The patient responded to broad spectrum antibiotics. Conclusion: This unique case of reverse Lemierre syndrome highlights the importance of multimodality imaging including PET-CT in identifying additional foci infection in lungs.

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Section: Discussionsupporting

confidence: 67%

Pyomyositis with Iliac Vein Thrombophlebitis and Septic Pulmonary Embolism: A Unique Case of Reverse Lemierre Syndrome

Joshi¹,

Verma²,

Kamat³

et al. 2021

JCR

View full text Add to dashboard Cite

show abstract

“…1 Common causes of SPE include infective endocarditis, skin and soft-tissues infection, intravascular catheters, pacemakers, intravenous drug use, dental abscess, septic thrombophlebitis, puerperal sepsis, etc. [2][3][4][5] The characteristic radiological finding on CT scan is bilateral discrete nodules with varying degrees of cavitation; the nodules may differ in size reflecting recurrent embolic showers. 6 Other findings include subpleural wedge-shaped opacities and feeding vessel sign (a distinct vessel leading directly to a nodule), which is considered to be pathognomic of SPE.…”

Section: Descriptionmentioning

confidence: 99%