Septic embolism in a patient with Lemierre's Syndrome

Authors

Keywords:

EMIERRE SYNDROME, SEPSIS, VENOUS THROMBOSIS, THROMBOPHLEBITIS.

Abstract

Introduction: Lemierre's Syndrome (LS) describes septic phlebothrombosis of the internal jugular vein following oropharyngeal infection. This entity represents a real diagnostic challenge for the practicing physician. The most alarming complications are those related to distant embolization.

Objective: to describe the clinical evolution of a patient with Lemierre's Syndrome treated at Dr. Carlos J. Finlay Central Military Hospital.

Case Report: a 24-year-old female patient with a medical history; who 12 days before admission started with fever of 39-40˚C, associated with odynophagia and whitish secretions located over both tonsils. After receiving oral antibiotic therapy, she perceived a slight improvement. Subsequently fever intensified, cough, dyspnea and flank pain in the right hemithorax appear.

Conclusions: the evolution of the patient was satisfactory after surgical drainage of the pleural collection, the use of specific antibiotics and anticoagulation. The care of patients with Lemierre's syndrome requires specialized assistance.

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Author Biographies

Antonio Belaunde Clausell, Hospital Militar Central Dr. Carlos J. Finlay

Especialista de Primer Grado de Medicina Interna.

Profesor Instructor.

José Enrique Ortiz Piñeda, Hospital Carlos J. Finlay

Especialista de Primer Grado en Medicina Gneral Integrlal Y Medicina interna

Yanet Romero Reinaldo, Hospital Luis Días Soto

Especialista de Primer Grado en Medicina General Integral y Pediatría

Roberto Manuel Valdés Torres, Hospital Carlos J. Finlay

Especialista de Primer Grado en Medicina General Integral y Cirugía General

References

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Published

2021-05-24

How to Cite

1.
Belaunde Clausell A, Ortiz Piñeda JE, Romero Reinaldo Y, Valdés Torres RM. Septic embolism in a patient with Lemierre’s Syndrome. Rev Ciencias Médicas [Internet]. 2021 May 24 [cited 2025 Aug. 22];25(3):e5038. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/5038

Issue

Vol. 25 No. 3 (2021)

Section

CASE REPORTS

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