Cerebral infarct and meningitis secondary to Lemierre's syndrome.
The case is reported of a young man with Fusobacterium necrophorum septicemia who developed cavernous sinus thrombosis, meningitis, carotid artery stenosis and stroke. This article presents the only reported case of arterial stroke in Lemierre's syndrome. Clinical presentation, diagnostic difficulty and treatment are discussed.
Bentham
Jamie R
JR
Department of Paediatrics, John Radcliffe Hospital, Oxford, United Kingdom.
Pollard
Andrew J
AJ
Milford
Christopher A
CA
Anslow
Philip
P
Pike
Mike G
MG
D000293:Adolescent; D002343:Carotid Artery, Internal / Q000473:pathology; D016893:Carotid Stenosis / Q000175:diagnosis*; D002426:Cavernous Sinus / Q000473:pathology; D020226:Cavernous Sinus Thrombosis / Q000175:diagnosis; D005625:Frontal Lobe / Q000098:blood supply / Q000473:pathology; D005674:Fusobacterium Infections / Q000175:diagnosis*; D005675:Fusobacterium necrophorum; D005917:Globus Pallidus / Q000098:blood supply / Q000473:pathology; D006801:Humans; D007089:Image Enhancement; D007091:Image Processing, Computer-Assisted; D020244:Infarction, Middle Cerebral Artery / Q000175:diagnosis*; D020772:Internal Capsule / Q000098:blood supply / Q000473:pathology; D007601:Jugular Veins; D008279:Magnetic Resonance Imaging; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis*; D009460:Neurologic Examination; D018805:Sepsis / Q000175:diagnosis*; D012851:Sinus Thrombosis, Intracranial / Q000175:diagnosis; D013101:Sphenoid Sinus / Q000473:pathology; D015524:Sphenoid Sinusitis / Q000175:diagnosis; D013577:Syndrome; D013924:Thrombophlebitis / Q000175:diagnosis