[Septic thrombophlebitis of the internal jugular vein and Lemierre syndrome].
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.
Bouton
F
F
Services de Médecine Interne, C.I.U. Ambroise Paré, U.L.B., Mons.
Cotils
M
M
Genard
M
M
Hubert
C
C
D000038:Abscess / Q000382:microbiology; D000208:Acute Disease; D000368:Aged; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D000787:Angina Pectoris / Q000382:microbiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D005674:Fusobacterium Infections / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D005675:Fusobacterium necrophorum; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging / Q000382:microbiology*; D008795:Metronidazole / Q000627:therapeutic use; D010612:Pharyngitis / Q000382:microbiology; D018805:Sepsis / Q000382:microbiology; D013577:Syndrome; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D014069:Tonsillitis / Q000382:microbiology; D018608:Ultrasonography, Doppler
D000900:Anti-Bacterial Agents; D000925:Anticoagulants; D008795:Metronidazole; D002981:Clindamycin; D019980:Amoxicillin-Potassium Clavulanate Combination; D006493:Heparin