[Bilateral jugular thrombosis in Lemierre syndrome].
An adolescent presented with a rhinosinusitis complicated with bilateral jugular veins and left superior ophthalmic vein thrombosis and respiratory distress with pulmonary hypertension. Blood culture was positive for Haemophilus influenzae and sinus puncture for Streptococcus constellatus. Evolution was under control after 1 week of appropriate antibiotherapy, antithrombotic and anti-inflammatory treatment. He had no neurologic, respiratory or ophthalmologic sequelae 6 months later. Despite lack of pharyngitis or isolation of anaerobic species on blood cultures, the picture was considered compatible with Lemierre syndrome. The risk for such a complication should be considered in cases of severe otorhinolaryngologic infection in young adults.
Benhayoun
M
M
Service de pédiatrie-réanimation, faculté Xavier-Bichat, université Paris-VII, hôpital Robert-Debré, AP-HP, 48, boulevard Sérurier, 75019 Paris, France.
Llor
J
J
Van-Den-Abbeele
T
T
Elmaleh
M
M
Mariani
P
P
Beaufils
F
F
Dauger
S
S
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006192:Haemophilus Infections / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D007601:Jugular Veins / Q000473:pathology*; D008297:Male; D012220:Rhinitis / Q000150:complications* / Q000382:microbiology; D012307:Risk Factors; D012852:Sinusitis / Q000150:complications* / Q000382:microbiology; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy; D013577:Syndrome; D020246:Venous Thrombosis / Q000209:etiology*
D000900:Anti-Bacterial Agents