Diagnosis and Management of Lemierre's Syndrome Presented with Multifocal Pneumonia and Cerebral Venous Sinus Thrombosis

Yasar Sattar; Ammu Thampi Susheela; Bibek Karki; Adnan Liaqat; Waqas Ullah; Fnu Zafrullah

doi:10.1155/2020/6396274

Diagnosis and Management of Lemierre's Syndrome Presented with Multifocal Pneumonia and Cerebral Venous Sinus Thrombosis

Case Rep Infect Dis. 2020 Mar 22:2020:6396274. doi: 10.1155/2020/6396274. eCollection 2020.

Authors

Yasar Sattar¹, Ammu Thampi Susheela², Bibek Karki³, Adnan Liaqat⁴, Waqas Ullah⁵, Fnu Zafrullah⁶

Affiliations

¹ Department of Internal Medicine, Icahn School of Medicine at Mount Sinai-Elmhurst Hospital, Queens, NY, USA.
² Department of Internal Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
³ Department of Pulmonary and Critical Care, Mayo Clinic, Rochester, MN, USA.
⁴ Department of Internal Medicine, Nexus Specialty Hospital, The Woodlands, TX, USA.
⁵ Department of Internal Medicine, Abington Hospital Jefferson Health, Abington, PA, USA.
⁶ Department of Internal Medicine, Steward Carney Hospital, Tufts Medical Center, Boston, MA, USA.

Abstract

A 27-year-old female patient initially presented with fever, myalgia, sore throat that progressed to multifocal pneumonia, and cerebral sinus venous thrombosis. A combination of upper respiratory symptoms with tooth infection, positive blood culture for Fusobacterium nucleatum, computed tomography (CT) chest finding of multifocal pneumonia, and magnetic resonance imaging (MRI) finding of internal jugular vein thrombosis (IJVT) and cerebral venous sinus thrombosis (CVST) suggested Lemierre syndrome. The patient was managed with fluids, antibiotics, and anticoagulants. The patient survived and discharged from the hospital. The patient's symptoms improved at 2 months of follow-up.

Publication types

Case Reports