A Lemierre syndrome variant caused by Staphylococcus aureus.

Am J Emerg Med

Service de Réanimation Médicale, Hôpital Saint-André, CHU Bordeaux, rue Jean Burguet, 33000 Bordeaux, France.

Published: March 2008

Lemierre syndrome is a rare clinical entity, characterized by thrombosis of the internal jugular vein that develops after an oropharyngeal infection. We report the case of a 22-year-old woman hospitalized initially for cellulitis of the face. In view of the aggravation of the clinical state (septic shock and multiple organ failure), a computed tomography of the neck was performed and revealed a thrombosis of the right internal and external jugular veins. The patient was treated with antibiotics, heparin, and by a surgical excision for the vascular lesions associated with ligation of jugular veins. The patient completely recovered from her infection.

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http://dx.doi.org/10.1016/j.ajem.2007.05.020DOI Listing

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