Atypical Presentation of Lemierre’s Syndrome Causing Septic Shock and Acute Respiratory Distress Syndrome
Lemierre’s disease is a rare but life-threatening condition characterized by an oropharyngeal infection complicating with thrombophlebitis of the internal jugular vein and disseminated abscesses. We are presenting a case of a young female who initially presented with fevers, chills, sore throat, and...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2018/5469053 |
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| author | Divyesh Reddy Nemakayala Manoj P Rai Shilpa Kavuturu Supratik Rayamajhi |
| author_facet | Divyesh Reddy Nemakayala Manoj P Rai Shilpa Kavuturu Supratik Rayamajhi |
| author_sort | Divyesh Reddy Nemakayala |
| collection | DOAJ |
| description | Lemierre’s disease is a rare but life-threatening condition characterized by an oropharyngeal infection complicating with thrombophlebitis of the internal jugular vein and disseminated abscesses. We are presenting a case of a young female who initially presented with fevers, chills, sore throat, and swollen neck later developed progressively worsening shortness of breath along with sudden onset pleuritic chest pain. She then developed progressively worsening acute hypoxic respiratory failure requiring intubation and mechanical ventilation. Interval chest X-ray showed worsening bilateral effusions. She also developed septic shock requiring pressors. Blood culture showed Fusobacterium, and antibiotics were changed accordingly following which there was a clinical improvement. The diagnosis of Lemierre’s syndrome was then established based on her presenting age and bilateral pulmonary empyema in the setting of septicemia with Fusobacterium. |
| format | Article |
| id | doaj-art-14307e6c48a6457e90a428b44f9e7a13 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-14307e6c48a6457e90a428b44f9e7a132025-02-03T05:59:06ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/54690535469053Atypical Presentation of Lemierre’s Syndrome Causing Septic Shock and Acute Respiratory Distress SyndromeDivyesh Reddy Nemakayala0Manoj P Rai1Shilpa Kavuturu2Supratik Rayamajhi3Department of Medicine, Michigan State University, 804 Service Road, Room B301, East Lansing, MI 48824, USADepartment of Medicine, Michigan State University, 804 Service Road, Room B301, East Lansing, MI 48824, USADepartment of Medicine, Michigan State University, 804 Service Road, Room B301, East Lansing, MI 48824, USADepartment of Medicine, Michigan State University, 804 Service Road, Room B301, East Lansing, MI 48824, USALemierre’s disease is a rare but life-threatening condition characterized by an oropharyngeal infection complicating with thrombophlebitis of the internal jugular vein and disseminated abscesses. We are presenting a case of a young female who initially presented with fevers, chills, sore throat, and swollen neck later developed progressively worsening shortness of breath along with sudden onset pleuritic chest pain. She then developed progressively worsening acute hypoxic respiratory failure requiring intubation and mechanical ventilation. Interval chest X-ray showed worsening bilateral effusions. She also developed septic shock requiring pressors. Blood culture showed Fusobacterium, and antibiotics were changed accordingly following which there was a clinical improvement. The diagnosis of Lemierre’s syndrome was then established based on her presenting age and bilateral pulmonary empyema in the setting of septicemia with Fusobacterium.http://dx.doi.org/10.1155/2018/5469053 |
| spellingShingle | Divyesh Reddy Nemakayala Manoj P Rai Shilpa Kavuturu Supratik Rayamajhi Atypical Presentation of Lemierre’s Syndrome Causing Septic Shock and Acute Respiratory Distress Syndrome Case Reports in Infectious Diseases |
| title | Atypical Presentation of Lemierre’s Syndrome Causing Septic Shock and Acute Respiratory Distress Syndrome |
| title_full | Atypical Presentation of Lemierre’s Syndrome Causing Septic Shock and Acute Respiratory Distress Syndrome |
| title_fullStr | Atypical Presentation of Lemierre’s Syndrome Causing Septic Shock and Acute Respiratory Distress Syndrome |
| title_full_unstemmed | Atypical Presentation of Lemierre’s Syndrome Causing Septic Shock and Acute Respiratory Distress Syndrome |
| title_short | Atypical Presentation of Lemierre’s Syndrome Causing Septic Shock and Acute Respiratory Distress Syndrome |
| title_sort | atypical presentation of lemierre s syndrome causing septic shock and acute respiratory distress syndrome |
| url | http://dx.doi.org/10.1155/2018/5469053 |
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