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A Case of Lemierre's Syndrome in Intensive Care Unit
Man-Yee Man1, Hoi-Ping Shum1, Wing-Wa Yan1
1Department of Intensive Care, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China.
Abstract:
We report a 21-year-old young male with Lemierre's syndrome presented as tonsillitis and Fusobacterium septicemia with respiratory failure and required intensive care. Lemierre's syndrome is the septic embolic complication of recent pharyngeal illness. Fusobacterium spp. accounts for the majority of cases. High index of suspicion is needed and prolonged antibiotic is advised. It is seldom seen in intensive care but should never be forgotten.