[Lemierre's syndrome: a case report].
We report a case of Lemierre's syndrome with a pleuropulmonary complication. Lemierre's syndrome is a rare etiology of lung abscess. The diagnosis is clinical and microbiological (anaerobic organisms). This syndrome associates an acute oropharyngeal infection with septic thrombophlebitis of the internal jugular vein (sometimes many days before the lung lesion) and pulmonary abscess formation. Clinicians should be aware of this syndrome that is fatal in 10% of patients, usually after delayed or missed diagnosis. The frequency of Lemierre's syndrome would be higher if antibiotics were given only to pharyngitis patients positive for streptococcus.
Lemiale
V
V
Service de Pneumologie et de Réanimation respiratoire, Hôpital Tenon, 4 rue de la Chine, F-75020 Paris Cedex 20.
Saidi
F
F
Jais
X
X
Vincent
B
B
Parrot
A
A
Mayaud
C
C
D000328:Adult; D000658:Amoxicillin / Q000008:administration & dosage / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D019818:Clavulanic Acid / Q000008:administration & dosage / Q000627:therapeutic use; D004322:Drainage; D004359:Drug Therapy, Combination; D006801:Humans; D008169:Lung Abscess / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D010406:Penicillins / Q000008:administration & dosage / Q000627:therapeutic use; D010612:Pharyngitis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D011001:Pleuropneumonia / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D011379:Prognosis; D013902:Radiography, Thoracic; D013577:Syndrome; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D010406:Penicillins; D019818:Clavulanic Acid; D000658:Amoxicillin