A benign oropharyngial infection without appropriate treatment can be complicated by a jugular vein thrombosis and disseminated septic embolies with deleterious pulmonary effects. This septic clinical picture most commonly known as Lemierre syndrome is attributed to Fusobacterium necrophorum, a Gram negative anaerobic bacilli. We describe a case of a young patient who has presented this syndrome accompanied by typical pulmonary manifestations. Adequate antibiotic treatment for 3 weeks associated with anticoagulant treatment for about 3 months duration have allowed a complete recovery without sequel.
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Article Synopsis
- Lemierre's syndrome is a rare, potentially life-threatening condition that can be caused by various bacteria, not just those initially identified by Andre Lemierre.
- A 62-year-old male patient with type 2 diabetes presented with severe neck swelling and required extensive medical interventions due to complications such as pulmonary abscesses and septic shock.
- Successful treatment involved the antibiotic meropenem and improved glycemic control, leading to the patient's recovery and discharge, underscoring the need for clinicians to be aware of diverse pathogens associated with Lemierre's syndrome, especially in diabetic patients.
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