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Case Report
Lemierre’s syndrome: The “forgotten disease” that should not be forgotten
1 Internal Medicine Resident, Internal Medicine Department, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal
2 Graduate Assistant of Clinical Pathology, Clinical Microbiology and Molecular Biology Laboratory, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal
3 Graduate Senior Assistant of Clinical Pathology, Clinical Microbiology and Molecular Biology Laboratory, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal
4 Graduate Assistant of Internal Medicine, Internal Medicine Department, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal
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Inês de Sousa Miranda
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Article ID: 100012Z16IM2022
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de Sousa Miranda I, Monteiro M, Gonçalves E, Toscano C, Domingos R. Lemierre’s syndrome: The “forgotten disease” that should not be forgotten. J Case Rep Images Infect Dis 2022;5(2):1–6.ABSTRACT
Introduction: Lemierre’s syndrome (LS) is often misdiagnosed as a common cold or viral infection. It is characterized by sepsis often evolving after a sore throat or tonsillitis and then complicated by various septic emboli and thrombosis of the internal jugular vein. Fusobacterium necrophorum is the most common causative organism. The recommended management is antibiotic treatment.
Case Report: We present a case of LS with positive blood cultures for F. necrophorum and pulmonary septic emboli without internal jugular vein thrombosis. The patient was successfully treated with prolonged antibiotic management.
Conclusion: Once observed, LS is unlikely to be forgotten by the spectator. Early antibiotic initiation of septic young patients with tonsillitis or neck infections is essential.
Keywords: Fusobacterium necrophorum, Lemierre’s syndrome, Septic embolization, Thrombophlebitis
SUPPORTING INFORMATION
Author Contributions
Inês de Sousa Miranda - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Marta Monteiro - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Elsa Gonçalves - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Cristina Toscano - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Raquel Domingos - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Inês de Sousa Miranda et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
