Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 22 , ISSUE 2 ( 2018 ) > List of Articles

CASE REPORT

A Case of Lemierre's Syndrome in Intensive Care Unit

Hoi-Ping Shum, Wing-Wa Yan, Man-Yee Man, Susanna K.P. Lau

Keywords : Critical care, Fusobacterium necrophorum, Lemierre's syndrome

Citation Information : Shum H, Yan W, Man M, Lau SK. A Case of Lemierre's Syndrome in Intensive Care Unit. Indian J Crit Care Med 2018; 22 (2):122-124.

DOI: 10.4103/ijccm.IJCCM_388_17

License: CC BY-ND 3.0

Published Online: 01-12-2014

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

We report a 21-year-old young male with Lemierre's syndrome presented as tonsillitis and Fusobacterium septicemia with respiratory failure and required intensive care. Lemierre's syndrome is the septic embolic complication of recent pharyngeal illness. Fusobacterium spp. accounts for the majority of cases. High index of suspicion is needed and prolonged antibiotic is advised. It is seldom seen in intensive care but should never be forgotten.


PDF Share
  1. Kuppalli K, Livorsi D, Talati NJ, Osborn M. Lemierre's syndrome due to Fusobacterium necrophorum. Lancet Infect Dis 2012;12:808-15.
  2. Karkos PD, Asrani S, Karkos CD, Leong SC, Theochari EG, Alexopoulou TD, et al. Lemierre's syndrome: A systematic review. Laryngoscope 2009;119:1552-9.
  3. Johannesen KM, Bodtger U. Lemierre's syndrome: Current perspectives on diagnosis and management. Infect Drug Resist 2016;9:221-7.
  4. Takano Y, Fukuda K, Takayasu H, Shinmura K, Koizumi G, Sasai M, et al. Liver abscessation and multiple septic pulmonary emboli associated with Lemierre's syndrome: A case report. BMC Res Notes 2015;8:65.
  5. Suzuki K, Hayashi Y, Otsuka H, Orita M, Kuwana T, Hashimoto K, et al. Case report; A case of Lemierre's syndrome associated with necrotizing fasciitis and septic embolization. Nihon Naika Gakkai Zasshi 2016;105:99-104.
  6. Chamseddin KH, Kirkwood ML. Lemierre's syndrome associated mycotic aneurysm of the external carotid artery with primary internal carotid artery occlusion in a previously healthy 18-year-old female. Ann Vasc Surg 2016;36:291.e11-291.e. 14.
  7. Holm K, Bank S, Nielsen H, Kristensen LH, Prag J, Jensen A, et al. The role of Fusobacterium necrophorum in pharyngotonsillitis – A review. Anaerobe 2016;42:89-97.
  8. Riordan T. Human infection with Fusobacterium necrophorum (Necrobacillosis), with a focus on Lemierre's syndrome. Clin Microbiol Rev 2007;20:622-59.
  9. Cupit-Link MC, Nageswara Rao A, Warad DM, Rodriguez V. Lemierre syndrome: A Retrospective study of the role of anticoagulation and thrombosis outcomes. Acta Haematol 2017;137:59-65.
  10. Rebelo J, Nayan S, Choong K, Fulford M, Chan A, Sommer DD, et al. To anticoagulate? Controversy in the management of thrombotic complications of head & neck infections. Int J Pediatr Otorhinolaryngol 2016;88:129-35.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.