[Fever and dysphagia of a young woman].
We report the case of a 39-year old patient with septicemia treated for pharyngitis with antibiotics since a few days. She wasn't able to swallow her antibiotics anymore because of dysphagia. Radiologic examination revealed pulmonary infiltrates and Vena iugularis interna-thrombosis. These findings and anamnesis led to the diagnosis of Lemierre syndrome inspite of lacking detection of bacteria. After changing the antibiotic therapy and start of anticoagulation further course of illness was favorable. The long duration of hospitalization was indepted to high morbidity typically seen in Lemierre syndrome.
Heimgartner
B
B
Universitätsklinik für Allgemeine Innere Medizin, Inselspital, Universitätsspital Bern.
Knecht
U
U
Oestmann
A
A
D000328:Adult; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000008:administration & dosage*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D000925:Anticoagulants / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D003680:Deglutition Disorders / Q000188:drug therapy / Q000209:etiology*; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D005335:Fever of Unknown Origin / Q000188:drug therapy / Q000209:etiology*; D005674:Fusobacterium Infections / Q000175:diagnosis* / Q000188:drug therapy; D005675:Fusobacterium necrophorum; D006801:Humans; D007601:Jugular Veins; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D018805:Sepsis; D013577:Syndrome; D013927:Thrombosis / Q000175:diagnosis* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D014069:Tonsillitis / Q000175:diagnosis* / Q000188:drug therapy*; D014463:Ultrasonography
D000900:Anti-Bacterial Agents; D000925:Anticoagulants; D002981:Clindamycin; D019980:Amoxicillin-Potassium Clavulanate Combination; D002443:Ceftriaxone