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Lemierre's syndrome: a disguised threat
Sérgio Alves1, Lorena Stella1, Isabel Carvalho1
1Department of Paediatrics, Centro Hospitalar de Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal.
BMJ Case Reports
|April 25, 2019
Summary
Lemierre's syndrome, a severe condition involving internal jugular vein thrombophlebitis, is increasingly overlooked. Prompt diagnosis and treatment are crucial for improving patient outcomes in this potentially fatal disease.
Area of Science:
- Internal Medicine
- Infectious Diseases
- Vascular Surgery
Background:
- Lemierre's syndrome, characterized by internal jugular vein thrombophlebitis and septic emboli, saw a decline with antibiotic introduction.
- Current lack of awareness contributes to delayed diagnosis and poorer prognoses for this severe condition.
Observation:
- A case report details Lemierre's syndrome in a 12-year-old female patient.
- The presentation highlights the persistent threat of this disease despite advances in medicine.
Findings:
- Suppurative thrombophlebitis of the internal jugular vein is the hallmark of Lemierre's syndrome.
- Disseminated septic embolisation is a critical complication, leading to severe morbidity.
Implications:
- Increased clinical awareness is vital for timely diagnosis and effective management of Lemierre's syndrome.
- Early intervention can significantly improve prognosis and reduce complications associated with this rare but dangerous infection.
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