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VOLUME 18 , ISSUE 3 ( March, 2014 ) > List of Articles

CASE REPORT

Lemierre′s syndrome: An often missed life-threatening infection

Narat Srivali, Patompong Ungprasert, Wonngarm Kittanamongkolchai, Nischala Ammannagari

Keywords : Anaerobic infection, fusobacterium, Lemierre′s syndrome, postanginal sepsis

Citation Information : Srivali N, Ungprasert P, Kittanamongkolchai W, Ammannagari N. Lemierre′s syndrome: An often missed life-threatening infection. Indian J Crit Care Med 2014; 18 (3):170-172.

DOI: 10.4103/0972-5229.128708

License: CC BY-ND 3.0

Published Online: 01-03-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Lemierre′s syndrome is an uncommon, but fatal infection of the internal jugular vein (IJV) that is usually caused by Fusobacteirum necrophorum although a wide range of bacteria has been reported as causative agents. Typical symptoms include fever, sore throat, neck swelling, pulmonary symptoms and arthralgia; however, the diagnosis of this infection is frequently overlooked as initial manifestation might be subtle and non-specific. Definite diagnosis requires positive blood culture and radiological evidence of thrombus in the IJV. We describe a case of a patient with Lemierre′s syndrome who was initially misdiagnosed with viral upper respiratory tract infection. High index of suspicion is pivotal to the diagnosis of this infection and Lemierre′s syndrome should always be considered as a potential cause of sepsis in an otherwise healthy patient.


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