'Papillomatization' and 'malignant transformation' of an abscess cavity in a 25-year old man with recurrent respiratory papillomatosis who may have had Lemierre syndrome.
We report here an unusual case of a 25-year old male with juvenile onset recurrent respiratory papillomatosis who developed an infestation of papillomata 'papillomatization' of an old abscess cavity that, when removed, was coincidently found to contain a 2 cm well differentiated squamous cell carcinoma. The abscess cavity had been caused by a previous Fusobaterium necrophorum infection that probably developed as a result of septic emboli from his internal jugular veins. This once common but now rare occurrence was first reported by Dr Lemierre in 1936 (Lemierre syndrome).
Veale
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A
Department of Respiratory Medicine, Queen Elizabeth Hospital, Woodville 5011, South Australia. antony.veale@nwahs.sa.gov.au
Jurisevic
C
C
Pieterse
S
S
Psaltis
A
A
D000328:Adult; D002471:Cell Transformation, Neoplastic / Q000473:pathology*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D045825:Fusobacteriaceae Infections / Q000382:microbiology / Q000473:pathology; D005675:Fusobacterium necrophorum; D006801:Humans; D008169:Lung Abscess / Q000382:microbiology / Q000473:pathology*; D008175:Lung Neoplasms / Q000473:pathology* / Q000601:surgery; D008297:Male; D010212:Papilloma / Q000473:pathology* / Q000601:surgery; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000209:etiology