Purpose: To describe a patient with -associated Lemierre syndrome complicated by eventual cavernous sinus thrombosis (CST) that manifested as an isolated abducens nerve palsy.
Observations: A patient with a history of heavy alcohol use presented with Lemierre syndrome caused by an odontogenic infection due to . Despite initiation of intravenous antibiotics and eventual eradication of her bacteremia, she developed an isolated abducens nerve palsy on hospital day 7 due to associated CST.
Conclusions And Importance: CST is a rare complication of odontogenic infection and Lemierre syndrome. This case demonstrates the potential for primary odontogenic infections to progress to life- and sight-threatening diseases. This case also illustrates the importance of considering uncommon pathogens as the etiology of CST based on the suspected source of primary infection.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7037586 | PMC |
| http://dx.doi.org/10.1016/j.ajoc.2020.100592 | DOI Listing |
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Article Synopsis
- * Initial treatments included antibiotics but follow-up revealed worsening symptoms and a diagnosis of empyema, which was linked to a bacterial infection from periodontal disease rather than standard sources.
- * The case emphasizes the need to investigate rare pathogens in pleural infections, especially those that may originate from oral health issues, highlighting how complex these conditions can be in patients with multiple health concerns.
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