Atypical involvement of the thyro-linguo-facial vein in Lemierre syndrome

BMJ Case Rep. 2022 Nov 15;15(11):e251722. doi: 10.1136/bcr-2022-251722.

Abstract

Fusobacterium necrophorum is a Gram-negative anaerobic bacterium that can lead to severe infection in young patients even without immunodeficiency. Due to the length of time for isolation and speciation of this Gram-negative bacillus (typically 5-8 days), and its potential mortality, broad-spectrum antibiotic therapy should be started without delay. With a cervical thrombosis, even on an unusual site and with a standard condition such as tonsillitis, Lemierre syndrome should be considered. We report a case of Lemierre syndrome in a previously healthy young woman.

Keywords: Ear, nose and throat/otolaryngology; General practice / family medicine; Infectious diseases.

Publication types

  • Case Reports

MeSH terms

  • Base Composition
  • Female
  • Fusobacterium Infections* / complications
  • Fusobacterium Infections* / diagnosis
  • Fusobacterium Infections* / drug therapy
  • Fusobacterium necrophorum
  • Humans
  • Lemierre Syndrome* / diagnosis
  • Lemierre Syndrome* / drug therapy
  • Lemierre Syndrome* / microbiology
  • Phylogeny
  • RNA, Ribosomal, 16S
  • Sequence Analysis, DNA

Substances

  • RNA, Ribosomal, 16S