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Lemierre's Syndrome: A Cloaked Dagger.

Samuelson E Osifo1, Akhabue G Umolu2, Wayomi R Perera3

  • 1Surgery, University Hospitals Sussex NHS Foundation Trust, Brighton, GBR.

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|April 17, 2023
PubMed
Summary

Lemierre's syndrome, a severe septic condition, is resurging, often following upper respiratory infections. Prompt diagnosis and treatment are crucial for this potentially fatal illness.

Keywords:
fusobacterium necrophoruminternal jugular vein thrombophlebitislemierre's syndromeseptic thrombophlebitistonsilitis

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Area of Science:

  • Infectious Diseases
  • Internal Medicine
  • Critical Care Medicine

Background:

  • Lemierre's syndrome is a rare but serious complication of upper respiratory infections.
  • Characterized by internal jugular vein thrombophlebitis and septicemia, it typically involves *Fusobacterium necrophorum*.

Observation:

  • The condition, once considered rare in young adults, has seen a resurgence.
  • This may be linked to evolving antibiotic stewardship practices for upper respiratory infections.

Findings:

  • The study presents a case of a young female with Lemierre's syndrome.
  • Symptoms included chest pain and worsening oxygen saturation after tonsillitis treatment.

Implications:

  • Highlights the need for a high index of suspicion among physicians for this potentially fatal condition.
  • Emphasizes current treatment strategies involving antibiotics, drainage, and potentially anticoagulants.