Grave Complication of Pharyngitis: Lemierre syndrome
Fusobacterium necrophorum is the causative agent in the pharyngitis. After invasion of the oropharyngeal mucosa by the organism leads to the development of the grave complications like superficial thrombophlebitis of internal jugular vein, septic emboli in the lung and coagulopathy. A 23-year-old...
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JCDR Research and Publications Private Limited
2015-06-01
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Series: | Journal of Clinical and Diagnostic Research |
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Online Access: | https://jcdr.net/articles/PDF/6060/11917_CE(Ra1)_F(GH)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdf |
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author | Suthar Pokhraj Prakashchandra Ankit Kumar B. Patel Kimmyben Patel Raj Kumar Doshi P. Narottam A. Patel |
author_facet | Suthar Pokhraj Prakashchandra Ankit Kumar B. Patel Kimmyben Patel Raj Kumar Doshi P. Narottam A. Patel |
author_sort | Suthar Pokhraj Prakashchandra |
collection | DOAJ |
description | Fusobacterium necrophorum is the causative agent in the pharyngitis. After invasion of the oropharyngeal mucosa by the organism leads
to the development of the grave complications like superficial thrombophlebitis of internal jugular vein, septic emboli in the lung and
coagulopathy. A 23-year-old male presented with chief complaints of sore throat, headache and high grade fever with past history of
upper respiratory tract infection one month ago. On examination, he had high grade fever, tachycardia, hypotension and tender cervical
lymph nodes. Oropharyngeal mucosa appeared ooedematous and congested. Leucocytosis with raised ESR was present. Blood culture
positive for Fusobacterium necrophorum. Dilated right IJV with the hypoechoic thrombosis seen on Ultrasonography & Doppler. Patient
was diagnosed as a case of Lemierre syndrome secondary to oropharyngeal infection was made. He was treated with intravenous
imipenem and metronidazole, and then shifted to oral amoxicillin. After completion of full course of the therapy of 6 weeks, patient was
improved clinically and all routine blood investigations were normalized. Blood culture was negative for Fusobacterium necrophorum. No
evidence of thrombosis within the right internal jugular vein on Doppler. |
first_indexed | 2024-04-13T18:51:01Z |
format | Article |
id | doaj.art-812d5d2b9f52495d94e5974957144165 |
institution | Directory Open Access Journal |
issn | 2249-782X 0973-709X |
language | English |
last_indexed | 2024-04-13T18:51:01Z |
publishDate | 2015-06-01 |
publisher | JCDR Research and Publications Private Limited |
record_format | Article |
series | Journal of Clinical and Diagnostic Research |
spelling | doaj.art-812d5d2b9f52495d94e59749571441652022-12-22T02:34:26ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-06-0196TD03TD0410.7860/JCDR/2015/11917.6060Grave Complication of Pharyngitis: Lemierre syndromeSuthar Pokhraj Prakashchandra0Ankit Kumar B. Patel1Kimmyben Patel2Raj Kumar Doshi P.3Narottam A. Patel4Resident, Department of Radiology, S.S.G. Hospital, Medical College, Vadodara, India.Resident, Department of Physiology, S.S.G. Hospital, Medical College, Vadodara, India. Intern, Department of Medicine, S.B.K.S. Medical Institute and Research Centre, Waghodiya, India. Intern, Department of Medicine, Medical College Baroda, Vadodara, India.Professor, Department of Radiology, S.S.G. Hospital, Medical College, Vadodara, India.Fusobacterium necrophorum is the causative agent in the pharyngitis. After invasion of the oropharyngeal mucosa by the organism leads to the development of the grave complications like superficial thrombophlebitis of internal jugular vein, septic emboli in the lung and coagulopathy. A 23-year-old male presented with chief complaints of sore throat, headache and high grade fever with past history of upper respiratory tract infection one month ago. On examination, he had high grade fever, tachycardia, hypotension and tender cervical lymph nodes. Oropharyngeal mucosa appeared ooedematous and congested. Leucocytosis with raised ESR was present. Blood culture positive for Fusobacterium necrophorum. Dilated right IJV with the hypoechoic thrombosis seen on Ultrasonography & Doppler. Patient was diagnosed as a case of Lemierre syndrome secondary to oropharyngeal infection was made. He was treated with intravenous imipenem and metronidazole, and then shifted to oral amoxicillin. After completion of full course of the therapy of 6 weeks, patient was improved clinically and all routine blood investigations were normalized. Blood culture was negative for Fusobacterium necrophorum. No evidence of thrombosis within the right internal jugular vein on Doppler.https://jcdr.net/articles/PDF/6060/11917_CE(Ra1)_F(GH)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdfcolour dopplercomplication of pharyngitisinternal jugular vein |
spellingShingle | Suthar Pokhraj Prakashchandra Ankit Kumar B. Patel Kimmyben Patel Raj Kumar Doshi P. Narottam A. Patel Grave Complication of Pharyngitis: Lemierre syndrome Journal of Clinical and Diagnostic Research colour doppler complication of pharyngitis internal jugular vein |
title | Grave Complication of Pharyngitis: Lemierre syndrome |
title_full | Grave Complication of Pharyngitis: Lemierre syndrome |
title_fullStr | Grave Complication of Pharyngitis: Lemierre syndrome |
title_full_unstemmed | Grave Complication of Pharyngitis: Lemierre syndrome |
title_short | Grave Complication of Pharyngitis: Lemierre syndrome |
title_sort | grave complication of pharyngitis lemierre syndrome |
topic | colour doppler complication of pharyngitis internal jugular vein |
url | https://jcdr.net/articles/PDF/6060/11917_CE(Ra1)_F(GH)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdf |
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