Lemierre's syndrome associated with septic pulmonary embolism: a case report.
An 18-year-old female patient suffering from a painful right-sided neck mass was admitted to our emergency service. Computed tomography of the neck revealed thrombosis of the right internal jugular vein. Computed tomography of the chest indicated septic pulmonary emboli in both lungs. Blood and oropharyngeal cultures showed proteus that was sensitive to cefepime and amicasin. Chemotherapy was administered for 12 days, however, her complaints continued with fulminant progression. An urgent decompression and excessive debridement were performed. Although Lemierre syndrome is a well-known cause of internal jugular vein thrombosis, association with proteus culture is very rare.
Gormus
Niyazi
N
Department of Cardiovascular Surgery, Meram Medical School of Selcuk University, Konya, Turkey. ngormus@selcuk.edu.tr
Durgut
Kadir
K
Ozergin
Ufuk
U
Odev
Kemal
K
Solak
Hasan
H
D000293:Adolescent; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D009333:Neck / Q000098:blood supply / Q000000981:diagnostic imaging; D011512:Proteus Infections / Q000150:complications / Q000175:diagnosis; D011655:Pulmonary Embolism / Q000150:complications* / Q000175:diagnosis; D018805:Sepsis / Q000150:complications* / Q000175:diagnosis; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color; D020246:Venous Thrombosis / Q000150:complications* / Q000175:diagnosis