Abstract
The authors report a case of Lemierre's syndrome. This uncommon clinical entity is characterized by a septic internal jugular vein thrombosis with secondary metastatic abscesses and Fusobacterium necrophorum septicemia, following an acute oropharyngeal infection. The diagnosis is primarily clinical and it should be suspected when a severe septicaemic illness, with pulmonary symptoms, occurs after an acute pharyngotonsillar infection. This article reviews the clinical picture, microbiology and treatment of this forgotten complication of acute tonsillitis.
MeSH terms
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Abscess / microbiology
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Acute Disease
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Aged
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Amoxicillin-Potassium Clavulanate Combination / therapeutic use
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Angina Pectoris / microbiology*
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Anti-Bacterial Agents / therapeutic use
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Anticoagulants / therapeutic use
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Clindamycin / therapeutic use
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Drug Therapy, Combination / therapeutic use
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Female
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Fusobacterium Infections / diagnosis*
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Fusobacterium Infections / diagnostic imaging
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Fusobacterium Infections / drug therapy
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Fusobacterium necrophorum*
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Heparin / therapeutic use
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Humans
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Jugular Veins / diagnostic imaging
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Jugular Veins / microbiology*
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Metronidazole / therapeutic use
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Pharyngitis / microbiology
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Sepsis / microbiology
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Syndrome
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Thrombosis / diagnostic imaging
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Thrombosis / drug therapy
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Thrombosis / microbiology*
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Tonsillitis / microbiology
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Ultrasonography, Doppler
Substances
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Anti-Bacterial Agents
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Anticoagulants
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Metronidazole
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Clindamycin
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Amoxicillin-Potassium Clavulanate Combination
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Heparin