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The forgotten disease - Lemierres syndrome
Ahmed Farhan1, Yawar Ali Shah1, Bushra Tariq Ali1
1Pakistan Institute of Medical Sciences, Islamabad.
JPMA. the Journal of the Pakistan Medical Association
|February 10, 2017
Summary
Lemierre's syndrome, a rare complication of upper respiratory infections, involves septic thrombosis of deep neck veins. Early diagnosis and antibiotic treatment are crucial to prevent fatal outcomes and organ dysfunction.
Area of Science:
- Infectious Diseases
- Vascular Surgery
- Internal Medicine
Background:
- Lemierre's syndrome is a rare but potentially fatal condition.
- It typically follows an upper respiratory tract infection.
Observation:
- A previously healthy 30-year-old female presented with a two-week febrile illness.
- Symptoms included dysphagia, hoarse voice, and right neck swelling.
Findings:
- Differential diagnoses included abscesses, granulomatosis with polyangiitis, tuberculosis, and thyroiditis.
- The final diagnosis was Lemierre's syndrome, confirmed by deep neck vein thrombosis, septic pulmonary emboli.
- The patient recovered with antibiotics and supportive care.
Implications:
- Delayed diagnosis and treatment of Lemierre's syndrome can be fatal.
- Prompt clinical suspicion is vital for early diagnosis.
- Early intervention can prevent life-threatening organ dysfunction.
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