A Lemierre syndrome variant caused by Staphylococcus aureus

Am J Emerg Med. 2008 Mar;26(3):380.e5-7. doi: 10.1016/j.ajem.2007.05.020.

Abstract

Lemierre syndrome is a rare clinical entity, characterized by thrombosis of the internal jugular vein that develops after an oropharyngeal infection. We report the case of a 22-year-old woman hospitalized initially for cellulitis of the face. In view of the aggravation of the clinical state (septic shock and multiple organ failure), a computed tomography of the neck was performed and revealed a thrombosis of the right internal and external jugular veins. The patient was treated with antibiotics, heparin, and by a surgical excision for the vascular lesions associated with ligation of jugular veins. The patient completely recovered from her infection.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Diagnosis, Differential
  • Drug Therapy, Combination
  • Female
  • Humans
  • Jugular Veins*
  • Staphylococcal Infections / complications*
  • Staphylococcal Infections / diagnostic imaging
  • Staphylococcal Infections / drug therapy
  • Staphylococcus aureus* / pathogenicity
  • Syndrome
  • Tomography, X-Ray Computed
  • Venous Thrombosis / diagnostic imaging
  • Venous Thrombosis / microbiology*

Substances

  • Anti-Bacterial Agents