Lemierre's syndrome: A rare cause of multifocal infection in an adolescent
Lemierre's syndrome is a rare disease characterized by septic thrombophlebitis of the internal jugular vein with septic emboli causing multifocal infection. This syndrome is most commonly seen after an upper respiratory tract infection in the adolescent population. We present a case of a teenag...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576622001774 |
| _version_ | 1798038139616362496 |
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| author | Ruchi Amin Thomas Fretz Carroll Harmon Kaveh Vali |
| author_facet | Ruchi Amin Thomas Fretz Carroll Harmon Kaveh Vali |
| author_sort | Ruchi Amin |
| collection | DOAJ |
| description | Lemierre's syndrome is a rare disease characterized by septic thrombophlebitis of the internal jugular vein with septic emboli causing multifocal infection. This syndrome is most commonly seen after an upper respiratory tract infection in the adolescent population. We present a case of a teenage patient diagnosed with Epstein-Barr Virus (EBV) who presented to our tertiary care facility in multisystem organ failure with initial findings concerning for necrotizing fasciitis of the retroperitoneum. The patient underwent surgical debridement with frank purulence in the retroperitoneal space and emphysematous osteomyelitis of the right ilium. F. necrophorum was isolated from surgical specimens which led to the suspicion of Lemierre's syndrome. Further work up revealed internal jugular vein thrombosis, as well as multifocal inoculation with infection in the ankle, hip, chest, and neck confirming the clinical diagnosis. Lemierre's syndrome is associated with significant morbidity and can be fatal if not promptly recognized and treated. Therefore, early identification is essential to providing appropriate medical and surgical care. |
| first_indexed | 2024-04-11T21:36:09Z |
| format | Article |
| id | doaj.art-c22b9c98fef44432ac9b19bd1b3d9489 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-11T21:36:09Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-c22b9c98fef44432ac9b19bd1b3d94892022-12-22T04:01:45ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-09-0184102350Lemierre's syndrome: A rare cause of multifocal infection in an adolescentRuchi Amin0Thomas Fretz1Carroll Harmon2Kaveh Vali3Corresponding author. 1001 Main Street Ste #3, Buffalo, NY, 14203, USA.; Division of Pediatric Surgery, Department of Surgery, John R. Oishei Children's Hospital, University at Buffalo, Buffalo, NY, USADivision of Pediatric Surgery, Department of Surgery, John R. Oishei Children's Hospital, University at Buffalo, Buffalo, NY, USADivision of Pediatric Surgery, Department of Surgery, John R. Oishei Children's Hospital, University at Buffalo, Buffalo, NY, USADivision of Pediatric Surgery, Department of Surgery, John R. Oishei Children's Hospital, University at Buffalo, Buffalo, NY, USALemierre's syndrome is a rare disease characterized by septic thrombophlebitis of the internal jugular vein with septic emboli causing multifocal infection. This syndrome is most commonly seen after an upper respiratory tract infection in the adolescent population. We present a case of a teenage patient diagnosed with Epstein-Barr Virus (EBV) who presented to our tertiary care facility in multisystem organ failure with initial findings concerning for necrotizing fasciitis of the retroperitoneum. The patient underwent surgical debridement with frank purulence in the retroperitoneal space and emphysematous osteomyelitis of the right ilium. F. necrophorum was isolated from surgical specimens which led to the suspicion of Lemierre's syndrome. Further work up revealed internal jugular vein thrombosis, as well as multifocal inoculation with infection in the ankle, hip, chest, and neck confirming the clinical diagnosis. Lemierre's syndrome is associated with significant morbidity and can be fatal if not promptly recognized and treated. Therefore, early identification is essential to providing appropriate medical and surgical care.http://www.sciencedirect.com/science/article/pii/S2213576622001774Lemierre's syndromeOsteomyelitisThrombophlebitis |
| spellingShingle | Ruchi Amin Thomas Fretz Carroll Harmon Kaveh Vali Lemierre's syndrome: A rare cause of multifocal infection in an adolescent Journal of Pediatric Surgery Case Reports Lemierre's syndrome Osteomyelitis Thrombophlebitis |
| title | Lemierre's syndrome: A rare cause of multifocal infection in an adolescent |
| title_full | Lemierre's syndrome: A rare cause of multifocal infection in an adolescent |
| title_fullStr | Lemierre's syndrome: A rare cause of multifocal infection in an adolescent |
| title_full_unstemmed | Lemierre's syndrome: A rare cause of multifocal infection in an adolescent |
| title_short | Lemierre's syndrome: A rare cause of multifocal infection in an adolescent |
| title_sort | lemierre s syndrome a rare cause of multifocal infection in an adolescent |
| topic | Lemierre's syndrome Osteomyelitis Thrombophlebitis |
| url | http://www.sciencedirect.com/science/article/pii/S2213576622001774 |
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