title: Neurological variant of Lemierre's Syndrome with purulent meningitis: a case report and literature review.
abstract: We report an unusual variant of Lemierre's Syndrome (LS) in a 10-year-old-girl admitted to the intensive care unit for septic shock with meningitis. The primary infection was otitis media. A gram negative bacillus was identified in the direct exam of the purulent ear discharge and the cerebrospinal fluid but cultures were negative. Computerized tomography of the neck revealed a thrombus in the internal jugular vein. Septic shock improved rapidly under supportive treatment. The patient recovered without sequellae after a prolonged duration of parenteral antibiotherapy and hospital stay. Neurologic variants of LS with meningitis, previously reported in the literature, are reviewed.
authors.affiliation: Paediatric Intensive Care Unit, Children's Hospital of Tunis, Tunis, Tunisia. asma.bouziri@yahoo.fr
authors.forename: Asma
authors.initials: A
authors.lastname: Bouziri
authors.forename: Wiem
authors.initials: W
authors.lastname: Douira
authors.forename: Ammar
authors.initials: A
authors.lastname: Khaldi
authors.forename: Sonia
authors.initials: S
authors.lastname: Mrad
authors.forename: Olfa
authors.initials: O
authors.lastname: Bouyahia
authors.forename: Hanene
authors.initials: H
authors.lastname: Smaoui
authors.forename: Azza
authors.initials: A
authors.lastname: Sammoud
authors.forename: Khaled
authors.initials: K
authors.lastname: Menif
authors.forename: Nejla
authors.initials: N
authors.lastname: Ben Jaballah
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D057831:Lemierre Syndrome / Q000209:etiology / Q000503:physiopathology*; D008581:Meningitis / Q000209:etiology / Q000503:physiopathology*; D010035:Otitis Media, Suppurative / Q000150:complications*