AI Article Synopsis
- Patients with Lemierre's syndrome can experience various complications, including lung lesions and joint issues, but pterygoid abscesses are rarely reported.
- A case is described involving a woman in her 70s who was hospitalized with decreased consciousness due to bilateral Lemierre's syndrome, leading to an intracranial epidural abscess and pterygoid abscesses.
- The patient's infection was linked to poor oral hygiene, and after appropriate antibiotic treatment and drainage of the abscesses, her condition improved, highlighting the need to recognize pterygoid abscesses as a rare complication of this syndrome.
Article Abstract
Patients with Lemierre's syndrome may have complications such as lung lesions, large joint arthritis and central nervous system involvement. However, complications involving a pterygoid abscess have scarcely been reported. Here, we report a case of bilateral Lemierre's syndrome accompanied with an intracranial epidural abscess and bilateral pterygoid abscesses. A woman in her 70s presented to the emergency room with a decreased level of consciousness. Infection was suspected, and and species of were identified in blood cultures, which suggested that the origin of infection was odontogenic, particularly as the patient had poor oral hygiene. Head and neck CT with contrast enhancement revealed bilateral internal jugular vein thrombophlebitis, septic pulmonary embolism, frontal epidural abscess and bilateral pterygoid abscesses. After antibiotic treatment and drainage, her condition improved. Pterygoid abscesses should be recognised as a rare complication of Lemierre's syndrome, especially when the infection origin is odontogenic.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10357689 | PMC |
| http://dx.doi.org/10.1136/bcr-2023-255398 | DOI Listing |
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Article Synopsis
- Patients with Lemierre's syndrome can experience various complications, including lung lesions and joint issues, but pterygoid abscesses are rarely reported.
- A case is described involving a woman in her 70s who was hospitalized with decreased consciousness due to bilateral Lemierre's syndrome, leading to an intracranial epidural abscess and pterygoid abscesses.
- The patient's infection was linked to poor oral hygiene, and after appropriate antibiotic treatment and drainage of the abscesses, her condition improved, highlighting the need to recognize pterygoid abscesses as a rare complication of this syndrome.
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