title: Coexisting pulmonary haemorrhage and venous thrombosis: a tricky but novel case.
abstract: We present a case of Lemierre's disease complicated by pulmonary artery pseudoaneurysm. A previously well woman aged 43 years presented with a history of a sore throat and worsening dyspnoea. She was diagnosed with a severe cavitating bilateral pneumonia complicated by internal jugular vein thrombosis consistent with a diagnosis of Lemierre's disease. She had an episode of massive haemoptysis which was confirmed to be due to a pulmonary artery pseudoaneurysm which required radiologically guided embolisation. She then required surgical decortication for bilateral empyemata. Blood cultures revealed growth of Slackia exigua, an organism yet to be linked with both of these complications concurrently. We believe this to be a novel case of this bacterium causing thrombosis and haemorrhage.
authors: Norfolk and Norwich University Hospital, Norwich, UK.|James Paget University Hospital, Great Yarmouth, UK.
authors: Alexandra
authors: A
authors: Fielding
authors: Norfolk and Norwich University Hospital, Norwich, UK.|James Paget University Hospital, Great Yarmouth, UK.
authors: Mira
authors: M
authors: Pecheva
authors: Norfolk and Norwich University Hospital, Norwich, UK.
authors: Aser
authors: A
authors: Farghal
authors: Norfolk and Norwich University Hospital, Norwich, UK.
authors: Russell
authors: R
authors: Phillips
mesh_terms: D039903:Actinobacteria; D000328:Adult; D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D000792:Angiography; D004417:Dyspnea / Q000209:etiology; D004621:Embolization, Therapeutic; D016724:Empyema, Pleural / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000150:complications* / Q000628:therapy; D006469:Hemoptysis / Q000209:etiology*; D006470:Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging; D057831:Lemierre Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D008171:Lung Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D010612:Pharyngitis / Q000150:complications; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed