Related Experiment Videos
Septic pulmonary emboli complicating mastoiditis: Lemierre's syndrome revisited
C E Hughes1, R K Spear, C E Shinabarger
1Department of Medicine, St. Mary's Medical Center, Evansville, Indiana 47750.
Abstract:
Deep neck-space infections may cause potentially life-threatening complications of head and neck infections. Lateral pharyngeal space infections in particular predispose to development of suppurative jugular vein thrombosis, which may be associated with anaerobic bacteremia and septic pulmonary emboli (Lemierre's syndrome). We describe a case of Lemierre's syndrome, a very rare entity in the antibiotic era, complicating mastoiditis. Surgical debridement and drainage in conjunction with antibiotic therapy resulted in prompt improvement in the patient's condition.
Insights
Lemierre's syndrome, a rare complication of deep neck infections, involves anaerobic bacteremia and septic pulmonary emboli. This case highlights its occurrence with mastoiditis, successfully treated with surgery and antibiotics.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Surgical Pathology
Background:
- Deep neck-space infections pose significant risks, potentially leading to severe complications.
- Lateral pharyngeal space infections are particularly associated with suppurative jugular vein thrombosis.
Observation:
- A rare case of Lemierre's syndrome complicating mastoiditis is presented.
- Lemierre's syndrome, characterized by anaerobic bacteremia and septic pulmonary emboli, is uncommon in the antibiotic era.
Findings:
- The patient presented with Lemierre's syndrome secondary to mastoiditis.
- Prompt surgical debridement and drainage, combined with appropriate antibiotic therapy, were initiated.
Implications:
- This case underscores the importance of recognizing Lemierre's syndrome even in the antibiotic era.
- Aggressive surgical and antibiotic management can lead to favorable outcomes in complex deep neck infections.