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[Lemierre's syndrome and Mycoplasma pneumoniae]

M Rivero Marcotegui1, C Sánchez Rodríguez, S Cabal Soto

  • 1Servicio de Medicina Interna, Clínica Ubarmin, Elcano. maria.rivero.marcotegui@cfnavarra.es

Anales De Medicina Interna (Madrid, Spain : 1984)
|February 4, 2006
PubMed

Insights

Lemierre

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Pulmonology

Background:

  • Lemierre's syndrome, a rare thrombophlebitis of the neck, often follows pharyngitis.
  • Prompt diagnosis and treatment are crucial for favorable outcomes.

Observation:

  • A 16-year-old female presented with Lemierre's syndrome, characterized by jugular vein thrombophlebitis and septic lung emboli.
  • The patient exhibited severe respiratory insufficiency requiring mechanical ventilation.

Findings:

  • The patient had Fusobacterium necrophorum bacteremia and a concurrent Mycoplasma pneumoniae infection.
  • Initial antibiotic therapy with penicillin G and clindamycin was insufficient until M. pneumoniae was targeted.

Implications:

  • This case highlights the importance of considering M. pneumoniae co-infection in Lemierre's syndrome.
  • Physicians should recognize characteristic clinical findings and consider polymicrobial infections in severe cases.

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