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Published on: December 18, 2010
The co-existence of Lemierre's syndrome and Bezold's abscesses due to Streptococcus constellatus: A case report
Kenichiro Yaita1, Suzuna Sugi, Makiko Hayashi
1Department of Infection Control and Prevention, Kurume University School of Medicine Department of Medicine, Division of Respirology, Neurology, and Rheumatology Department of Radiology and Center for Diagnostic Imaging Department of Pharmacy, Kurume University Hospital, Kurume, Fukuoka, Japan.
Rationale:
The ancient infectious diseases, Lemierre's Syndrome and Bezold's Abscesses are rare.
Patient Concerns:
A 70-year-old Japanese woman with a 15-year history of Parkinson's disease was referred to our hospital due to fever, occipital headache and bilateral shoulder pain that had continued for three months. She had been prescribed prednisolone due to a diagnosis of polymyalgia rheumatica.
Diagnoses:
A blood culture revealed bacteremia of Streptococcus constellatus. In addition, computed tomography revealed Bezold's abscesses and Lemierre's syndrome.
Interventions:
We administered ceftriaxone for 31 days, followed by oral amoxicillin.
Outcomes:
The patient recovered and the abscesses improved.
Lessons:
This case underscores the importance of blood culture tests and cross-referencing with radiological imagings in the diagnoses of these rare critical infectious diseases that mimic polymyalgia rheumatica.
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