A Lemierre syndrome variant caused by Staphylococcus aureus.
Lemierre syndrome is a rare clinical entity, characterized by thrombosis of the internal jugular vein that develops after an oropharyngeal infection. We report the case of a 22-year-old woman hospitalized initially for cellulitis of the face. In view of the aggravation of the clinical state (septic shock and multiple organ failure), a computed tomography of the neck was performed and revealed a thrombosis of the right internal and external jugular veins. The patient was treated with antibiotics, heparin, and by a surgical excision for the vascular lesions associated with ligation of jugular veins. The patient completely recovered from her infection.
Puymirat
Etienne
E
Service de Réanimation Médicale, Hôpital Saint-André, CHU Bordeaux, rue Jean Burguet, 33000 Bordeaux, France.
Biais
Matthieu
M
Camou
Fabrice
F
Lefèvre
Jérome
J
Guisset
Olivier
O
Gabinski
Claude
C
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007601:Jugular Veins; D013203:Staphylococcal Infections / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000472:pathogenicity; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000382:microbiology*
D000900:Anti-Bacterial Agents