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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
PubMed
Summary
This summary is machine-generated.

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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 syndromepleural effusionsurgical 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.