[Streptococcus intermedius Lemierre syndrome: an unusual association].
BACKGROUND
Lemierre's syndrome is a potentially severe though uncommon entity consisting in septic emboli from an internal jugular vein thrombus after oropharyngeal infection.


METHODS
A 21-year-old man initially treated for acute pharnygeal infection developed fever and lower chest pain related to multiple pulmonary abscesses. The diagnosis of Lemierre's syndrome was retained due to the association of extensive thrombus formation in the internal jugular vein and Streptococcus intermedius septicemia.


CONCLUSIONS
Lemierre's syndrome is a classical entity whose frequency is probably underestimated. The causal agent is not always an anaerobic germ. Use of anticoagulants is controversial.
Chemlal
K
K
Service de Médecine interne, Hôpital Max Fourestier, Nanterre. kchemlal@libertysurf.fr
Caby
I
I
Memain
N
N
Aubert
D
D
Bruneel
F
F
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D002637:Chest Pain / Q000209:etiology; D006801:Humans; D007601:Jugular Veins / Q000473:pathology; D008169:Lung Abscess / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D008297:Male; D013290:Streptococcal Infections / Q000150:complications*; D013577:Syndrome; D013923:Thromboembolism / Q000382:microbiology / Q000473:pathology; D020246:Venous Thrombosis / Q000150:complications / Q000382:microbiology*
D000925:Anticoagulants