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[Streptococcus intermedius Lemierre syndrome: an unusual association]
1Service de Médecine interne, Hôpital Max Fourestier, Nanterre. kchemlal@libertysurf.fr
Presse Medicale (Paris, France : 1983)
|November 10, 2000
Summary
Lemierre's syndrome, a rare but serious condition, involves internal jugular vein clots and septic emboli following throat infections. This case highlights Streptococcus intermedius as a cause and discusses treatment controversies.
Area of Science:
- Infectious Diseases
- Vascular Medicine
- Critical Care Medicine
Background:
- Lemierre's syndrome is a rare but severe condition characterized by septic emboli originating from an internal jugular vein thrombus.
- It typically arises secondary to oropharyngeal infections, making early recognition crucial.
Observation:
- A 21-year-old male presented with fever and chest pain, diagnosed with multiple pulmonary abscesses.
- Extensive thrombus formation in the internal jugular vein and Streptococcus intermedius septicemia confirmed the diagnosis of Lemierre's syndrome.
Findings:
- Lemierre's syndrome, though uncommon, may be underdiagnosed.
- The causative agent is not exclusively anaerobic bacteria.
- The role of anticoagulants in managing Lemierre's syndrome remains a subject of debate.
Implications:
- This case underscores the importance of considering Lemierre's syndrome in patients with oropharyngeal infections and suggestive symptoms.
- It highlights the diverse microbial causes, including aerobic bacteria like Streptococcus intermedius.
- Further research is needed to establish definitive guidelines for anticoagulant therapy in Lemierre's syndrome.
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