[Phlegmon of the palm of the hand as initial manifestation of the Lemierre syndrome].
Lemierre's syndrome is a rare disease in young otherwise healthy people showing septic embolism in the lungs and peripheral vessels. We report the case of a 19-year-old male patient who presented initially with a phlegmon of the right palm and beginning septic shock. During the clinical course a subcutaneous abscess of the left shoulder, multiple lesions of the lungs and a pericardial abscess were identified and Lemierre's syndrome was diagnosed. In this case, positron emission tomography (PET) was revealed to be an appropriate instrument to determine the extent of the disease in a one step procedure.
Braunbeck
A
A
Abt. für Unfall-, Hand- und Wiederherstellungschirurgie, Orthopädische Universitätsklinik Friedrichsheim, Klinikum der Johann-Wolfgang-Goethe-Universität , Marienburgstr. 2, 60528, Frankfurt/Main, Deutschland. a.braunbeck@friedrichsheim.de
Geiger
E V
EV
Weber
R
R
Maier
M
M
Daecke
W
W
Fiebig
C
C
Marzi
I
I
D000038:Abscess / Q000175:diagnosis* / Q000601:surgery; D000173:Acromioclavicular Joint / Q000473:pathology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002481:Cellulitis / Q000175:diagnosis* / Q000601:surgery*; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D018450:Disease Progression; D004322:Drainage; D019788:Fluorodeoxyglucose F18; D005674:Fusobacterium Infections / Q000175:diagnosis* / Q000601:surgery*; D005675:Fusobacterium necrophorum; D006229:Hand Dermatoses / Q000175:diagnosis* / Q000601:surgery*; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis / Q000601:surgery; D008795:Metronidazole / Q000627:therapeutic use; D049268:Positron-Emission Tomography; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000601:surgery; D012086:Reoperation; D012772:Shock, Septic / Q000175:diagnosis* / Q000601:surgery; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D055815:Young Adult
D000900:Anti-Bacterial Agents; D006495:Heparin, Low-Molecular-Weight; D019788:Fluorodeoxyglucose F18; D008795:Metronidazole