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Imaging InlC Secretion to Investigate Cellular Infection by the Bacterial Pathogen Listeria monocytogenes

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LEMIERRE SYNDROME: A FORGOTTEN INFECTION.

Raza Ullah¹, Shahada Naz¹, ¹

¹Hayatabad Medical Complex Peshawar-Pakistan.

Journal of Ayub Medical College, Abbottabad : JAMC

|November 25, 2024

Summary

Lemierre's syndrome, a severe infection caused by Fusobacterium necrophorum, can recur and affect adults. Prompt diagnosis is crucial to prevent potentially fatal complications like thrombophlebitis and empyema.

Keywords:

Lumiere syndrome; Chest tube; Internal Jugular thrombosis

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Area of Science:

Infectious Diseases
Bacteriology
Vascular Surgery

Background:

Lemierre's syndrome is a rare but serious condition primarily affecting adolescents.
It stems from Fusobacterium necrophorum infection, leading to septic thrombophlebitis of the jugular vein.
Complications include septic emboli to lungs, joints, and bones.

Observation:

Fever, pharyngitis, dysphagia, and neck swelling are common symptoms.
Recurrence has been noted, possibly linked to decreased antibiotic use for sore throats.
This case highlights Lemierre's syndrome in an elderly female presenting with pharyngitis.

Findings:

The patient developed thrombophlebitis, empyema, and a discharging neck sinus.
Delayed diagnosis, despite characteristic symptoms, remains a significant challenge.
Fusobacterium necrophorum identified as the causative agent.

Implications:

Emphasizes the need for increased physician awareness of Lemierre's syndrome in all age groups.
Highlights the potential for severe outcomes, including mortality, with delayed diagnosis.
Suggests reassessment of antibiotic stewardship for pharyngeal infections.