A 4-year-old boy with Lemierre's syndrome caused by methicillin-sensitive Staphylococcus aureus

J Infect Public Health. 2020 Sep;13(9):1360-1362. doi: 10.1016/j.jiph.2020.05.013. Epub 2020 Jun 2.

Abstract

A pre-school aged boy presented to the Pediatric Emergency Department with a high grade fever and neck pain and stiffness. Blood culture was positive for methicillin-sensitive Staphylococcus aureus (MSSA) and Doppler ultrasound of the neck revealed partial thrombosis of the left internal jugular vein. He was diagnosed with Lemierre's syndrome (LS) and treated with a prolonged course of antibiotics and anticoagulation. After discharge home, he was followed in the outpatient clinics and had a full recovery. This case report will highlight the presentation of LS and will briefly review the microbiology of this condition.

Keywords: Fusobacterium; Lemierre's syndrome; Septic thrombophlebitis; Staphylococcus aureus.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Bacteremia / diagnosis
  • Bacteremia / drug therapy
  • Child, Preschool
  • Humans
  • Jugular Veins / diagnostic imaging
  • Lemierre Syndrome / diagnosis*
  • Lemierre Syndrome / drug therapy
  • Lemierre Syndrome / microbiology*
  • Male
  • Methicillin / pharmacology
  • Methicillin-Resistant Staphylococcus aureus
  • Staphylococcal Infections / diagnosis
  • Staphylococcal Infections / drug therapy
  • Staphylococcus aureus / drug effects
  • Staphylococcus aureus / isolation & purification
  • Staphylococcus aureus / pathogenicity*
  • Treatment Outcome
  • Ultrasonography

Substances

  • Anti-Bacterial Agents
  • Methicillin