Lemierre syndrome: a case of a rarely isolated microorganism, Staphylococcus auerus.
BACKGROUND
Lemierre syndrome is an extremely rare complication of mild-to-moderate pharyngeal infections that causes septic embolization to the lungs and other distant sites. One-third of cases present a polymicrobial bacteremia, although the most isolated microorganism is Fusobacterium necrophorum. A case of postanginal sepsis caused by a rarely isolated microorganism, Staphylococcus auerus, in a geriatric patient is reported.


METHODS
An 80-year-old man was admitted to hospital with fever and sore throat. Doppler ultrasonography imaging of the neck veins demonstrated an occlusive thrombus in the right internal jugular vein. Clinical deterioration occurred in spite of all ICU therapy. The revealed right internal jugular vein filled with thrombus. Staphylococcus aureus was cultivated on blood and urine samples.


CONCLUSIONS
The responsible microorganism and the advanced age of the patient may make clinicians aware of the variants of this syndrome.
Gokçe Ceylan
Berit
B
Department of Anesthesiology and Reanimation, University of Suleyman Demirel School of Medicine, Isparta, Turkey. beritceylan@hotmail.com
Yavuz
Lutfi
L
Baydar
Cetin Lutfi
CL
Tuz
Mustafa
M
Eroglu
Fusun
F
Kiris
Ilker
I
Akcam
Fusun Zeynep
FZ
Erdem
Bulent
B
D000015:Abnormalities, Multiple / Q000382:microbiology*; D000368:Aged; D017809:Fatal Outcome; D006801:Humans; D007601:Jugular Veins / Q000473:pathology; D008297:Male; D011180:Postmortem Changes; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D013577:Syndrome; D013927:Thrombosis / Q000150:complications