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Article Abstract
Lemierre's syndrome is an oropharyngeal bacterial infection characterized by rapidly progressive septic thrombophlebitis of the internal jugular vein. A lack of appropriate antibiotic therapy can be life-threatening. We describe the case of a 39-year-old man with Lemierre's syndrome who presented with long-lasting orbital pain and acute exophthalmos 6 weeks after initial infection. This report is to help clinicians consider the diagnosis of Lemierre's syndrome when encountering a patient with long-lasting orbital pain and acute exophthalmos. Neck ultrasonography is useful for detecting thrombophlebitis of the internal jugular vein in Lemierre's syndrome patients.
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| http://dx.doi.org/10.1016/j.jiac.2015.08.014 | DOI Listing |
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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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