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[Bilateral jugular thrombosis in Lemierre syndrome]
M Benhayoun1, J Llor, T Van-Den-Abbeele
1Service de pédiatrie-réanimation, faculté Xavier-Bichat, université Paris-VII, hôpital Robert-Debré, AP-HP, 48, boulevard Sérurier, 75019 Paris, France.
Summary
A severe sinus infection led to Lemierre syndrome in an adolescent, causing dangerous blood clots. Prompt treatment with antibiotics and anti-inflammatories resulted in a full recovery without lasting complications.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Vascular Medicine
Background:
- Lemierre syndrome, a rare but serious complication of head and neck infections, typically involves oropharyngeal infections.
- This case highlights a presentation of Lemierre syndrome secondary to rhinosinusitis in an adolescent.
Observation:
- The patient presented with rhinosinusitis complicated by bilateral jugular vein and left superior ophthalmic vein thrombosis, along with respiratory distress and pulmonary hypertension.
- Blood cultures identified Haemophilus influenzae, and sinus puncture revealed Streptococcus constellatus.
Findings:
- The patient's condition improved within one week following appropriate antibiotherapy, antithrombotic, and anti-inflammatory treatment.
- No neurological, respiratory, or ophthalmological sequelae were observed at the 6-month follow-up.
Implications:
- This case underscores the importance of considering Lemierre syndrome in severe otorhinolaryngologic infections, even without typical preceding symptoms like pharyngitis or anaerobic bacteria.
- Early recognition and aggressive management are crucial for favorable outcomes in this potentially life-threatening condition.