Lemierre's syndrome complicating pregnancy

Area of Science:

• Obstetrics and Gynecology
• Infectious Diseases
• Vascular Surgery

Background:

• Lemierre's syndrome is characterized by anaerobic suppurative thrombophlebitis of the internal jugular vein, often stemming from oropharyngeal infections.
• Pregnancy presents unique challenges for Lemierre's syndrome diagnosis and management, with limited prior case reports.
• Previous literature documented a case complicated by premature delivery and significant infant neurological damage.

Observation:

• An atypical case of Lemierre's syndrome was diagnosed during the second trimester of pregnancy.
• The patient presented with symptoms suggestive of both oropharyngeal infection and pulmonary involvement.
• This case represents a deviation from the previously reported obstetric case.

Findings:

• The diagnosis was established in the second trimester, allowing for timely intervention.
• The pregnancy progressed to a successful live birth at term.
• This outcome contrasts with the adverse event reported in the sole prior pregnancy case.

Implications:

• Increased awareness among obstetricians is crucial for prompt recognition of Lemierre's syndrome in pregnant patients.
• Early diagnosis and management can potentially lead to improved maternal and fetal outcomes.
• This case underscores the importance of considering Lemierre's syndrome in pregnant patients with persistent oropharyngeal and pulmonary symptoms.