Síndrome de Lemierre: relato de caso

Handa, Gustavo Ioshio; Bertuzzo, Giorgio Sfredo; Muller, Karin S.; Dambinski, Ana Cláudia; Buzingnani, Vinicius Zendrini; Mantovani, Lucas Marques; Patriani, Andressa Hubar; Krauss, Denise

doi:10.1590/s1677-54492010005000001

Cited by 5 publications

(13 citation statements)

References 13 publications

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“…9,12 Clinical manifestations include fever with temperatures from 39 to 41 °C and shivering from 4 to 5 days after onset of pharyngitis. 6,7 Pain and stiffness of the neck and cervical lymphadenopathy can also occur. Edema and pain at the angle of the mandible or anterior and parallel to the sternocleidomastoid muscle indicate involvement of the parapharyngeal space (26 to 45% of cases).…”

Section: Discussionmentioning

confidence: 99%

“…Edema and pain at the angle of the mandible or anterior and parallel to the sternocleidomastoid muscle indicate involvement of the parapharyngeal space (26 to 45% of cases). 6,10 Respiratory problems are present in the majority of cases. 6 In atypical presentations, the patient may not have fever and LS may even not be preceded by pharyngitis.…”

Section: Discussionmentioning

confidence: 99%

“…6,10 Respiratory problems are present in the majority of cases. 6 In atypical presentations, the patient may not have fever and LS may even not be preceded by pharyngitis.…”

Section: Discussionmentioning

confidence: 99%

“…5,8 Treatment is basically founded on antibiotic therapy tailored to the pathogen involved and surgery is rarely needed. 6 In this case report, we describe a woman who exhibited LS atypically, after tooth extraction.…”

Section: Introductionmentioning

confidence: 96%

“…[1][2][3] In extremely rare cases, tooth extraction may also trigger this syndrome. 4,5 The syndrome primarily affects young adults 6 and can potentially be fatal. 1,2,4,7 Lemierre syndrome is also known as the "forgotten disease", because of its rarity.…”

Section: Introductionmentioning

confidence: 99%

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Síndrome de Lemierre: relato de caso

et al. 2018

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Lemierre syndrome is characterized by septic thrombophlebitis of the internal jugular vein, after an oropharyngeal infection, with septic embolization to the lungs or other organs. This case report describes a 37-year-old female patient who presented with edema and pain in the right hemiface with onset 3 days previously and progressive fatigue and dyspnea since the previous day. She had had tooth 48 extracted 3 days previously. Physical examination at admission found tachypnea, with 60% saturation (in room air), edema at the angle of the right mandible, diffuse reduction of vesicular murmur, and calves free from clubbing. Angiotomography of the chest and laboratory tests were compatible with septic emboli, and cervical computed tomography confirmed a diagnosis of septic thrombophlebitis of the internal jugular vein. She was managed with antibiotics and given treatment for her symptoms. Lemierre syndrome most often occurs in young men and there is embolization to the lungs in up to 97% of cases. Rarely, the etiology of this syndrome may be tooth extraction. Computed tomography is the imaging method most often used for diagnosis and treatment is basically antibiotic. Surgery is thus rarely necessary.A síndrome de Lemierre caracteriza-se pela tromboflebite séptica da veia jugular interna, após uma orofaringite, com embolização séptica para o pulmão ou outros órgãos. Neste relato de caso, apresentamos uma paciente feminina, 37 anos de idade, com história de edema e dor em hemiface direita há três dias, associada a fadiga e dispneia progressiva há um dia. História de extração dentária do elemento 48 há três dias. No exame físico admissional, apresentava-se taquipneica, saturando 60% (em ar ambiente), com edema em ângulo da mandíbula direita, redução difusa do murmúrio vesicular e panturrilhas sem empastamento. Angiotomografia de tórax e exames laboratoriais foram compatíveis com quadro de embolia séptica, e tomografia computadorizada da cervical corroborou o diagnóstico de tromboflebite séptica da veia jugular interna. Foi tratada com antibióticos e sintomáticos. A síndrome de Lemierre afeta mais homens jovens e tem embolização para o pulmão em até 97% dos casos. Extrações dentárias raramente podem ser a etiologia dessa síndrome. A tomografia computadorizada é o método de imagem mais utilizado no diagnóstico, e o tratamento é, essencialmente, com antibióticos; portanto, a abordagem cirúrgica é raramente necessária.Palavras-chave: síndrome de Lemierre; extração dentária; tromboflebite; embolia pulmonar. Lemierre syndrome: case report 338 338/340 J Vasc Bras. 2018, Out.-Dez.; 17(4):337-340

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…6,10 Respiratory problems are present in the majority of cases. 6 In atypical presentations, the patient may not have fever and LS may even not be preceded by pharyngitis.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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Síndrome de Lemierre: relato de caso

et al. 2018

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Síndrome de Lemierre: relato de caso

et al. 2015

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ResumoA tromboflebite supurativa da veia jugular interna ou síndrome de Lemierre foi descrita pela primeira vez em 1900. O evento inicial mais frequente é a infecção de orofaringe associada à trombose da veia jugular interna. Embora uma entidade rara, a síndrome de Lemierre continua a ser uma doença de morbidade e mortalidade consideráveis devido à sua progressão e atrasos de diagnóstico.

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There is no well-being without oral health: a case report of Lemierre’s syndrome due to neglected odontogenic infection

Davis,

Kristianto,

Yang

2024

J. vasc. bras.

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Lemierre’s syndrome is marked by presence of septic thrombophlebitis in the internal jugular vein. This case report describes a 57-year-old woman who presented with a progressively swelling neck with onset 1 day prior to admission. She had a history of untreated dental infection. Physical examination revealed slightly increased blood pressure, at 140/80 mmHg, and a painful, erythematous, warm swelling in the mid area of the neck. Ultrasound of the neck revealed occlusive intraluminal thrombus in the right internal jugular vein, a computed tomography (CT) scan with contrast showed that there was a blockage in the right jugular vein. The mainstay treatment for Lemierre’s syndrome is antibiotics, while administration of anticoagulants remains controversial. The patient was treated conservatively, with administration of antibiotics and anticoagulant. Several days later the patient’s condition had improved significantly, with less pain and reduced swelling.

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Síndrome de Lemierre: relato de caso

Cited by 5 publications

References 13 publications

Síndrome de Lemierre: relato de caso

Síndrome de Lemierre: relato de caso

Síndrome de Lemierre: relato de caso

There is no well-being without oral health: a case report of Lemierre’s syndrome due to neglected odontogenic infection

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