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Lemierre syndrome in a child with recent pharyngitis

Published online by Cambridge University Press:  21 May 2015

Jonnathan Moore Busko*
Affiliation:
Carolinas Medical Center, Department of Emergency Medicine, 1000 Blythe Blvd., Charlotte, NC
Wayne Triner
Affiliation:
Albany Medical Center, Department of Emergency Medicine, MC-139, Albany, NY
*
4525 Statesville Rd., Charlotte NC 28269; 704 943-6065, fax 704 963-6001, [email protected]

Abstract

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A 14-year-old boy presented with fever and progressive respiratory distress, one week after an episode of pharyngitis. Although there was a concern about pulmonary embolism secondary to a lower extremity fracture, his presentation was most consistent with Lemierre syndrome. This syndrome is an uncommon but potentially lethal complication of otolaryngological infections. Early recognition and aggressive antibiotic therapy are critical elements in reducing mortality. Emergency physicians should be aware of this syndrome because its incidence appears to be increasing.

Type
Case Report • Observations de cas
Copyright
Copyright © Canadian Association of Emergency Physicians 2004

References

1.Lemierre, A.On certain septicemias due to anaerobic organisms. Lancet 1936:7013.CrossRefGoogle Scholar
2.Sinave, CP, Hardy, GJ, Fardy, PW.The Lemierre syndrome: suppurative thrombophlebitis of the internal jugular vein secondary to oropharyngeal infection. Medicine 1989;68:8594.CrossRefGoogle ScholarPubMed
3.Vandenberg, SJ, Hartig, GK.Lemierre’s syndrome. Otolaryngol Head Neck Surg 1998;119(5):5168.CrossRefGoogle ScholarPubMed
4.Gwaltney, JM Jr, Bisno, AL. Pharyngitis. In: Mandell, GL, Bennett, JE, Dolin, R, editors. Principles and practice of infectious diseases, 5th ed. Philadelphia: Churchill Livingston; 2000. p. 658.Google Scholar
5.Tan, NC, Tan, DY, Tan, LC.An unusual headache: Lemierre’s Syndrome. J Neurol 2003;250:2456.CrossRefGoogle ScholarPubMed
6.Maalikjy Akkawi, N, Borroni, B, Magoni, M, Vignolo, LA, Padovani, A.Lemierre’s syndrome complicated by carotid thrombosis. Neurol Sci 2001;22:4034.CrossRefGoogle ScholarPubMed
7.McLean, AS, Tyler, K.Cardiac tamponade in a postpartum woman with Lemierre’s Syndrome. Anaesth Intensive Care 1998;26:5823.CrossRefGoogle Scholar
8.Hagelskjaer Kristnesen, L, Prag, J.Human necrobacillosis, with emphasis on Lemierre’s syndrome. Clin Infect Dis 2000;31:52432.CrossRefGoogle Scholar
9.Hagelskjaer, LH, Prag, J, Malczynski, J, Kristensen, JH.Incidence and clinical epidemiology in necrobacillosis, including Lemierre’s syndrome, in Denmark 1990–1995. Eur J Clin Microbiol Infect Dis 1998;17:5615.CrossRefGoogle ScholarPubMed
10.Gudinchet, F, Maeder, P, Neveceral, P, Schnyder, P.Lemierre’s Syndrome in children: high-resolution CT and color Doppler sonography patterns. Chest 1997;112:2713.CrossRefGoogle ScholarPubMed
11.Fiesseler, FW.Pharyngitis followed by hypoxia and sepsis: Lemierre syndrome. Am J Emerg Med 2001;19:3202.CrossRefGoogle ScholarPubMed
12.De Lima, JE Jr, Levin, M.Lemierre’s Syndrome: post-anginal septicemia. Ped Radiol 2003;33:2813.CrossRefGoogle ScholarPubMed
13.Albertyn, LE, Alcock, MK.Diagnosis of internal jugular vein thrombosis. Radiology 1987;162:5058.CrossRefGoogle ScholarPubMed
14.Lustig, LR, Cusick, BC, Cheung, SW, Lee, KC.Lemierre’s syndrome: two cases of postanginal sepsis. Otolaryngol Head Neck Surg 1995;112;76772.CrossRefGoogle ScholarPubMed
15.Lee, BK, Lopez, F, Genovese, M, Loutit, JS.Lemierre’s Syndrome. South Med J 1997;90(6):6403.CrossRefGoogle ScholarPubMed
16.Smith, SA.Respiratory failure as a complication of pharyngitis: Lemierre’s Syndrome. Ped Emerg Care 1999;15(6):4023.CrossRefGoogle ScholarPubMed
17.Moore, BA, Deckle, C, Werkhaven, J.Bilateral Lemierre’s syndrome: a case report and literature review. Ear Nose Throat J 2002;81:2346,23840,242.CrossRefGoogle ScholarPubMed
18.Jane, R.Critical care nurses be aware: Lemierre’s syndrome is on the rise. Aust Crit Care 2003;16:12632.CrossRefGoogle ScholarPubMed