Lemierre Syndrome – The forgotten disease

Acute pharyngitis is among the most common causes of demand for emergency services. In general, they are benign, mostly of viral or bacterial etiology and evolve without complications with appropriate therapy. Rarely the infection extends deeply through the neck tissues generating serious suppurativ...

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Main Authors: Carlos Eduardo Marcello, Elizabeth In Myung Kim, Luciana Andréa Avena Smeili, Leonardo Bianqui, Munir Bazzi
Format: Article
Language:English
Published: University of São Paulo 2011-09-01
Series:Autopsy and Case Reports
Subjects:
Online Access:http://www.revistas.usp.br/autopsy/article/view/26068
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author Carlos Eduardo Marcello
Elizabeth In Myung Kim
Luciana Andréa Avena Smeili
Leonardo Bianqui
Munir Bazzi
author_facet Carlos Eduardo Marcello
Elizabeth In Myung Kim
Luciana Andréa Avena Smeili
Leonardo Bianqui
Munir Bazzi
author_sort Carlos Eduardo Marcello
collection DOAJ
description Acute pharyngitis is among the most common causes of demand for emergency services. In general, they are benign, mostly of viral or bacterial etiology and evolve without complications with appropriate therapy. Rarely the infection extends deeply through the neck tissues generating serious suppurative complications. Herein is reported a case of a 20-year-old young woman who developed acute pharyngitis followed by left cervical bulging and cough with bloody sputum. Chest radiography showed bilateral pulmonary infiltrate which on thoracic computed tomography slices were represented by cavitary nodules measuring up to 33 mm universally distributed on both lungs, predominantly on peripheral location. Computed tomography of the neck with intravenous contrast showed extensive thrombosis of the left internal jugular vein, from the base of the skull to the distal third of the neck. Diagnosis of Lemierre Syndrome was made and the patient was treated with a favorable outcome.
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spelling doaj.art-43f3f3a1e9ca45018aa2f8ecb10bdf752022-12-22T00:50:11ZengUniversity of São PauloAutopsy and Case Reports2236-19602011-09-011310.4322/acr.%y.2606826030Lemierre Syndrome – The forgotten diseaseCarlos Eduardo Marcello0Elizabeth In Myung Kim1Luciana Andréa Avena Smeili2Leonardo Bianqui3Munir Bazzi4Divisão de Clínica Médica do Hospital Universitário da Universidade de São Paulo, São Paulo/SP. BrasilDivisão de Clínica Médica do Hospital Universitário da Universidade de São Paulo, São Paulo/SP, BrasilDivisão de Clínica Médica do Hospital Universitário da Universidade de São Paulo, São Paulo/SP, BrasilFaculdade de Medicina da Universidade de São Paulo, São Paulo/SP, BrasilInstituto de Infectologia Emílio RibasAcute pharyngitis is among the most common causes of demand for emergency services. In general, they are benign, mostly of viral or bacterial etiology and evolve without complications with appropriate therapy. Rarely the infection extends deeply through the neck tissues generating serious suppurative complications. Herein is reported a case of a 20-year-old young woman who developed acute pharyngitis followed by left cervical bulging and cough with bloody sputum. Chest radiography showed bilateral pulmonary infiltrate which on thoracic computed tomography slices were represented by cavitary nodules measuring up to 33 mm universally distributed on both lungs, predominantly on peripheral location. Computed tomography of the neck with intravenous contrast showed extensive thrombosis of the left internal jugular vein, from the base of the skull to the distal third of the neck. Diagnosis of Lemierre Syndrome was made and the patient was treated with a favorable outcome.http://www.revistas.usp.br/autopsy/article/view/26068Lemierre SyndromePharyngitisVenous thrombosisLung abscess.
spellingShingle Carlos Eduardo Marcello
Elizabeth In Myung Kim
Luciana Andréa Avena Smeili
Leonardo Bianqui
Munir Bazzi
Lemierre Syndrome – The forgotten disease
Autopsy and Case Reports
Lemierre Syndrome
Pharyngitis
Venous thrombosis
Lung abscess.
title Lemierre Syndrome – The forgotten disease
title_full Lemierre Syndrome – The forgotten disease
title_fullStr Lemierre Syndrome – The forgotten disease
title_full_unstemmed Lemierre Syndrome – The forgotten disease
title_short Lemierre Syndrome – The forgotten disease
title_sort lemierre syndrome the forgotten disease
topic Lemierre Syndrome
Pharyngitis
Venous thrombosis
Lung abscess.
url http://www.revistas.usp.br/autopsy/article/view/26068
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AT lucianaandreaavenasmeili lemierresyndrometheforgottendisease
AT leonardobianqui lemierresyndrometheforgottendisease
AT munirbazzi lemierresyndrometheforgottendisease