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[Lemierre's syndrome].

Maria João Leitão1, Marina Meireles, Tiago Toscano

  • 1Clinicas Universitárias de Medicina I e de Cirurgia Vascular, Hospital de St Maria, Lisboa.

Revista Portuguesa De Cirurgia Cardio-Toracica E Vascular : Orgao Oficial Da Sociedade Portuguesa De Cirurgia Cardio-Toracica E Vascular
|March 1, 2005
PubMed
Summary

Lemierre's syndrome (LS), a serious anaerobic infection complication, is resurging. A rare case linked to intense coughing highlights the need for prompt diagnosis and treatment of this dangerous condition.

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Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Lemierre's syndrome (LS) is a rare but severe complication of oropharyngeal infections, primarily affecting adolescents and young adults.
  • It involves septic thrombophlebitis of the internal jugular vein and potential metastatic infections, leading to fulminant sepsis.
  • A recent increase in LS cases may be linked to evolving antibiotic prescribing practices.

Observation:

  • This report details a unique case of Lemierre's syndrome (LS) triggered by a severe bout of coughing.
  • This specific etiology has not been previously documented in medical literature.
  • The patient's presentation underscores the diverse origins of LS.

Findings:

  • The case demonstrates that intense coughing can precipitate Lemierre's syndrome (LS).

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  • Early and accurate diagnosis is crucial for effective management.
  • Prompt therapeutic intervention is essential to prevent severe outcomes.

    • Implications:

    • This case broadens the known etiological spectrum for Lemierre's syndrome (LS).
    • Clinicians should consider LS in patients presenting with severe oropharyngeal infections, even with unusual triggers like intense coughing.
    • Awareness of LS and its varied presentations is vital for timely intervention and improved patient prognosis.