title: [A parotitis as primary infection of Lemierre's syndrome].
abstract: Lemierre's syndrome is a classical presentation of human necrobacillosis. It is characterized by a primary infection in the face including a septic thrombophlebitis of the internal jugular vein and disseminated metastatic abcesses. Fusobacterium necrophorum is the main pathogen found in that syndrome. The diagnosis is based on clinical features, then on the microbiology with positive anaerobic blood cultures as key role and finally on the computed tomography. Most of the time a well-chosen antibiotic treatment against anaerobic pathogens and Gram negative bacilli is efficient but surgery can be useful. We report a case of a 73 years old man, which seems to be unique because it is the first case reported of a Lemierre's syndrome characterized by a parotitis infected by F. necrophorum.
authors.affiliation: Département d'anesthésie-réanimation, pavillon G, hôpital Édouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69437 Lyon cedex 03, France.
authors.forename: B
authors.initials: B
authors.lastname: Valleix
authors.forename: B
authors.initials: B
authors.lastname: Floccard
authors.forename: E
authors.initials: E
authors.lastname: Hautin
authors.forename: F
authors.initials: F
authors.lastname: Faure
authors.forename: B
authors.initials: B
authors.lastname: Allaouchiche
mesh_terms: D000368:Aged; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D002481:Cellulitis / Q000188:drug therapy / Q000517:prevention & control; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D057831:Lemierre Syndrome / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D013517:Otorhinolaryngologic Surgical Procedures; D010306:Parotid Gland / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D010309:Parotitis / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D000925:Anticoagulants; D006993:Hypnotics and Sedatives; D019980:Amoxicillin-Potassium Clavulanate Combination; D008775:Methylprednisolone