A Unique Case of Lemierre Syndrome Associated with Thrombophilia in an Adult and the Role of Anticoagulation
Acute septic thrombophlebitis of the internal jugular vein (IJV), better known as Lemierre syndrome, is a rare entity which poses several challenges in management. Treatment involves prompt use of intravenous antibiotics over a prolonged period of time, typically 6–8 weeks. The use of anticoagulatio...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2010/982494 |
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| author | Pradeep H. Lakshminarayana Matthew E. Woodske |
| author_facet | Pradeep H. Lakshminarayana Matthew E. Woodske |
| author_sort | Pradeep H. Lakshminarayana |
| collection | DOAJ |
| description | Acute septic thrombophlebitis of the internal jugular vein (IJV), better known as Lemierre syndrome, is a rare entity which poses several challenges in management. Treatment involves prompt use of intravenous antibiotics over a prolonged period of time, typically 6–8 weeks. The use of anticoagulation is controversial, but indicated for some. We describe the first reported case of Lemierre syndrome associated with a hypercoagulable state in an adult. We propose that all patients with Lemierre syndrome should be evaluated for hypercoagulable states and that the indications for anticoagulation in Lemierre syndrome are (1) propagation or nonresolution of IJV thrombus despite antibiotics and (2) identification of a hypercoagulable state, as in our case. |
| format | Article |
| id | doaj-art-e08cecbceec64b3aa81066b62f196dff |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-e08cecbceec64b3aa81066b62f196dff2025-02-03T01:03:24ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/982494982494A Unique Case of Lemierre Syndrome Associated with Thrombophilia in an Adult and the Role of AnticoagulationPradeep H. Lakshminarayana0Matthew E. Woodske1Department of Internal Medicine, University of Pittsburgh Medical Center, McKeesport, PA 15132, USADivision of Pulmonary, Allergy, and Critical Care Medicine, Montefiore University Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USAAcute septic thrombophlebitis of the internal jugular vein (IJV), better known as Lemierre syndrome, is a rare entity which poses several challenges in management. Treatment involves prompt use of intravenous antibiotics over a prolonged period of time, typically 6–8 weeks. The use of anticoagulation is controversial, but indicated for some. We describe the first reported case of Lemierre syndrome associated with a hypercoagulable state in an adult. We propose that all patients with Lemierre syndrome should be evaluated for hypercoagulable states and that the indications for anticoagulation in Lemierre syndrome are (1) propagation or nonresolution of IJV thrombus despite antibiotics and (2) identification of a hypercoagulable state, as in our case.http://dx.doi.org/10.1155/2010/982494 |
| spellingShingle | Pradeep H. Lakshminarayana Matthew E. Woodske A Unique Case of Lemierre Syndrome Associated with Thrombophilia in an Adult and the Role of Anticoagulation Case Reports in Medicine |
| title | A Unique Case of Lemierre Syndrome Associated with Thrombophilia in an Adult and the Role of Anticoagulation |
| title_full | A Unique Case of Lemierre Syndrome Associated with Thrombophilia in an Adult and the Role of Anticoagulation |
| title_fullStr | A Unique Case of Lemierre Syndrome Associated with Thrombophilia in an Adult and the Role of Anticoagulation |
| title_full_unstemmed | A Unique Case of Lemierre Syndrome Associated with Thrombophilia in an Adult and the Role of Anticoagulation |
| title_short | A Unique Case of Lemierre Syndrome Associated with Thrombophilia in an Adult and the Role of Anticoagulation |
| title_sort | unique case of lemierre syndrome associated with thrombophilia in an adult and the role of anticoagulation |
| url | http://dx.doi.org/10.1155/2010/982494 |
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