A pre-school aged boy presented to the Pediatric Emergency Department with a high grade fever and neck pain and stiffness. Blood culture was positive for methicillin-sensitive Staphylococcus aureus (MSSA) and Doppler ultrasound of the neck revealed partial thrombosis of the left internal jugular vein. He was diagnosed with Lemierre's syndrome (LS) and treated with a prolonged course of antibiotics and anticoagulation. After discharge home, he was followed in the outpatient clinics and had a full recovery. This case report will highlight the presentation of LS and will briefly review the microbiology of this condition.
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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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