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Lemierre's syndrome treated operatively.

Allison T Lanfear¹, Mohanad Hamandi¹, Joy Fan¹

¹Baylor Scott and White-The Heart Hospital, Plano, Texas.

Proceedings (Baylor University. Medical Center)

|October 26, 2020

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Lemierre's syndrome, a serious throat infection, can lead to jugular vein thrombosis and septic emboli. Prompt antibiotic treatment is crucial, but severe complications like pleural effusions may necessitate surgical intervention.

Area of Science:

Infectious Diseases
Critical Care Medicine
Surgical Pathology

Background:

Lemierre's syndrome (LS) is a rare but severe complication of oropharyngeal infections, primarily caused by Fusobacterium necrophorum.
LS is characterized by infectious thrombophlebitis of the internal jugular vein, leading to potential septic embolization.
The syndrome typically affects young, healthy adults and presents with symptoms such as pharyngitis, neck pain, and fever.

Observation:

A case of Lemierre's syndrome in a young adult is presented.
The patient experienced severe pleural effusions as a complication of the syndrome.
These effusions required surgical decortication for management.

Findings:

Delayed antibiotic treatment in Lemierre's syndrome increases the risk of metastatic infections.

Keywords:

Lemierre’s syndrome pleural effusion surgical decortication

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Severe pleural effusions represent a significant, albeit uncommon, complication of LS.

Surgical decortication can be an effective intervention for managing complex pleural complications in LS.

Implications:

This case highlights the importance of early diagnosis and aggressive management of Lemierre's syndrome.
It underscores the potential for severe thoracic complications requiring advanced surgical procedures.
Further research into optimal treatment strategies for LS and its complications is warranted.