title: Lemierre Syndrome associated with dental infections. Report of one case and review of the literature.
abstract: The first publication on Lemierre Syndrome appears in 1936 by Lemierre. It is defined as an "oropharynx bacterial infection characterized by the thrombophlebitis in the internal jugular vein, derived in a systemic septic embolism". In 81% of the cases, the Fusobacterium necrophorum is the most frequent etiologic agent. Fever is the most common symptom, but it can depending on the primary infection, tonsillitis, mastoiditis or odontogenic infection. According to the literature the mortality is very low, but with a significant morbidity, that is why the diagnosis and early treatment is very important. The diagnosis it's clinical, even though the CT scan and other diagnosis methods (echography, MRI) help to determine the extent of the infection. It's necessary to administer the antibiotics endovenous at high dose, (keeping in mind that the most frequent micro organism is anaerobic), and vital support measures if necessary. We present a case report of Lemierre Syndrome associated to an odonthogenic infection caused by the 4.8 molar.
authors.affiliation: Oral and Maxilofacial Service, Bellvitge University Hospital (HUB), Barcelona, Spain. ijescalona@hotmail.com
authors.forename: Inma
authors.initials: I
authors.lastname: Juárez Escalona
authors.forename: Artur
authors.initials: A
authors.lastname: Díaz Carandell
authors.forename: Samir
authors.initials: S
authors.lastname: Aboul-Hons Centenero
authors.forename: Antonio
authors.initials: A
authors.lastname: Monner Diéguez
authors.forename: Antonio
authors.initials: A
authors.lastname: Marí Roig
authors.forename: Carlos
authors.initials: C
authors.lastname: Arranz Obispo
authors.forename: Pedro
authors.initials: P
authors.lastname: Piulachs Clapera
authors.forename: José Maria
authors.initials: JM
authors.lastname: Lluch Salas
authors.forename: Silvia
authors.initials: S
authors.lastname: Cuscó Albors
authors.forename: Ramon
authors.initials: R
authors.lastname: Sieira Gil
mesh_terms: D000328:Adult; D001442:Bacteroides Infections / Q000000981:diagnostic imaging / Q000628:therapy; D001441:Bacteroides fragilis; D006801:Humans; D007601:Jugular Veins; D008297:Male; D011859:Radiography; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000628:therapy; D034367:Streptococcus intermedius; D013577:Syndrome; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D014076:Tooth Diseases / Q000150:complications* / Q000382:microbiology*