Severe Sepsis Associated with Lemierre’s Syndrome: A Rare but Life-Threatening Disease

Background. The incidence of Lemierre’s syndrome has increased in the past decade. This posttonsillitis complication may be life threatening. Case Presentation. A 19-year-old patient was admitted to Surgical Intensive Care Unit of a French University Hospital for high fever, low blood pressure, and...

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Main Authors: Audrey Tawa, Raphaëlle Larmet, Yannick Malledant, Philippe Seguin
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2016/1264283
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author Audrey Tawa
Raphaëlle Larmet
Yannick Malledant
Philippe Seguin
author_facet Audrey Tawa
Raphaëlle Larmet
Yannick Malledant
Philippe Seguin
author_sort Audrey Tawa
collection DOAJ
description Background. The incidence of Lemierre’s syndrome has increased in the past decade. This posttonsillitis complication may be life threatening. Case Presentation. A 19-year-old patient was admitted to Surgical Intensive Care Unit of a French University Hospital for high fever, low blood pressure, and haemoptysis following a sore throat episode. Blood analysis revealed a thrombopenia, an acute renal failure, and an elevated lactate serum. Fusobacterium necrophorum was found in blood cultures. Computed tomography of the neck and lungs confirmed the diagnosis of Lemierre’s syndrome: pleural effusions, bilateral lung infiltrates, and an internal jugular vein thrombosis. Fluid administration and antibiotic treatment were quickly initiated. Patient left the unit four days after his admission without any organ dysfunction. Conclusion. Lemierre’s syndrome may lead to multiorgan dysfunction and should be rapidly identified.
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institution Kabale University
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series Case Reports in Critical Care
spelling doaj-art-a3c64de1e594494fbebd3b9a2ccac92a2025-02-03T01:31:29ZengWileyCase Reports in Critical Care2090-64202090-64392016-01-01201610.1155/2016/12642831264283Severe Sepsis Associated with Lemierre’s Syndrome: A Rare but Life-Threatening DiseaseAudrey Tawa0Raphaëlle Larmet1Yannick Malledant2Philippe Seguin3Intensive Care Unit, Anaesthesia and Critical Care Department, University Hospital of Rennes, 2 rue Henri Le Guilloux, 35000 Rennes, FranceIntensive Care Unit, Anaesthesia and Critical Care Department, University Hospital of Rennes, 2 rue Henri Le Guilloux, 35000 Rennes, FranceIntensive Care Unit, Anaesthesia and Critical Care Department, University Hospital of Rennes, 2 rue Henri Le Guilloux, 35000 Rennes, FranceIntensive Care Unit, Anaesthesia and Critical Care Department, University Hospital of Rennes, 2 rue Henri Le Guilloux, 35000 Rennes, FranceBackground. The incidence of Lemierre’s syndrome has increased in the past decade. This posttonsillitis complication may be life threatening. Case Presentation. A 19-year-old patient was admitted to Surgical Intensive Care Unit of a French University Hospital for high fever, low blood pressure, and haemoptysis following a sore throat episode. Blood analysis revealed a thrombopenia, an acute renal failure, and an elevated lactate serum. Fusobacterium necrophorum was found in blood cultures. Computed tomography of the neck and lungs confirmed the diagnosis of Lemierre’s syndrome: pleural effusions, bilateral lung infiltrates, and an internal jugular vein thrombosis. Fluid administration and antibiotic treatment were quickly initiated. Patient left the unit four days after his admission without any organ dysfunction. Conclusion. Lemierre’s syndrome may lead to multiorgan dysfunction and should be rapidly identified.http://dx.doi.org/10.1155/2016/1264283
spellingShingle Audrey Tawa
Raphaëlle Larmet
Yannick Malledant
Philippe Seguin
Severe Sepsis Associated with Lemierre’s Syndrome: A Rare but Life-Threatening Disease
Case Reports in Critical Care
title Severe Sepsis Associated with Lemierre’s Syndrome: A Rare but Life-Threatening Disease
title_full Severe Sepsis Associated with Lemierre’s Syndrome: A Rare but Life-Threatening Disease
title_fullStr Severe Sepsis Associated with Lemierre’s Syndrome: A Rare but Life-Threatening Disease
title_full_unstemmed Severe Sepsis Associated with Lemierre’s Syndrome: A Rare but Life-Threatening Disease
title_short Severe Sepsis Associated with Lemierre’s Syndrome: A Rare but Life-Threatening Disease
title_sort severe sepsis associated with lemierre s syndrome a rare but life threatening disease
url http://dx.doi.org/10.1155/2016/1264283
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