[Lemierre syndrome: unusual, but still possible].
Lemierre syndrome is a rare disease, which was life-threatening before the antibiotics era. We report here two cases with favorable outcome. Clinical features are stereotypic: tonsillis, cervical pain revealing deep vein thrombosis, and pulmonary septic metastasis. The most frequent causal germ on blood cultures is Fusobacterium necrophorum but other anaerobial bacteries can be found. Cervical Doppler-ultrasonography, and thoracic tomodensitometry are useful. Medical treatment is antibiotic therapy and anticoagulation.
Service de Pneumologie et Unité de Réanimation Respiratoire, Centre Hospitalier Universitaire, Amiens.
Matthieu
M
Monge
Pierre
P
Aubry
Charles
C
Dayen
Isabelle
I
Ben Taarit
Jean-Pierre
JP
Ducroix
Vladimir
V
Strunski
Vincent
V
Jounieaux
D000328:Adult; D005260:Female; D005674:Fusobacterium Infections / Q000175:diagnosis / Q000188:drug therapy; D005675:Fusobacterium necrophorum; D006801:Humans; D007601:Jugular Veins; D008297:Male; D012141:Respiratory Tract Infections / Q000175:diagnosis / Q000188:drug therapy; D013577:Syndrome; D013927:Thrombosis / Q000175:diagnosis / Q000188:drug therapy