Atypical Lemierre's Syndrome. A Case Report and Review of Literature

Anum Qureshi; Theodore Bailey; Michael Atkinson; Khadija Tayabali

doi:10.55729/2000-9666.1006

Atypical Lemierre's Syndrome. A Case Report and Review of Literature

J Community Hosp Intern Med Perspect. 2022 Jan 31;12(1):36-38. doi: 10.55729/2000-9666.1006. eCollection 2022.

Authors

Anum Qureshi¹, Theodore Bailey², Michael Atkinson¹, Khadija Tayabali¹

Affiliations

¹ Department of Internal Medicine, Greater Baltimore Medical Center, Towson, MD, USA.
² Department of Infectious Disease, Greater Baltimore Medical Center, Towson, MD, USA.

Abstract

Lemierre's syndrome (LS) is a rare disease entity, which can be catastrophic if organism-directed treatment is not initiated early. Lemierre's syndrome is frequently caused by Fusobacterium infection which is frequently susceptible to clindamycin. Evidence suggests there is an increase in the incidence of cases of drug resistant Fusobacterium species. Through this case we present a unique case of a 45-year-old Caucasian female with Lemierre's Syndrome due to polymicrobial organisms that were resistant to clindamycin thus developing recurrent infections despite being on antibiotics.

Keywords: Ertapenem; Fusobacterium necrophorum; Internal jugular vein thrombosis; Lemierre’s Syndrome; Meropenem; Prevotella Bucca.

Publication types

Case Reports