Gynecological Lemierre's syndrome: A case report and literature review

Introduction. - Lemierre's syndrome is defined as an oropharyngeal infection due to Fusobacterium necrophorum, associated with septic thrombophlebitis of the internal jugular vein. The uncommon pelvic variant of the syndrome is a rare condition, poorly described in literature. Case report. - We...

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Veröffentlicht in:La revue de medecine interne 2020-07, Vol.41 (7), p.493-495
Hauptverfasser: Kherabi, Y., Chevrel, G., Roux, D., Federici, L.
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container_issue 7
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container_title La revue de medecine interne
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creator Kherabi, Y.
Chevrel, G.
Roux, D.
Federici, L.
description Introduction. - Lemierre's syndrome is defined as an oropharyngeal infection due to Fusobacterium necrophorum, associated with septic thrombophlebitis of the internal jugular vein. The uncommon pelvic variant of the syndrome is a rare condition, poorly described in literature. Case report. - We report a case of gynecological Lemierre's syndrome in a 19-year-old woman after a first sexual intercourse, who presented acute respiratory failure, left internal iliac vein thrombosis with pulmonary embolism, in the setting of salpingitis and F. necrophorum bacteriemia. Conclusion. - Gynecological Lemierre's syndrome is a rare and unrecognized condition, which could be lethal. Early recognition of the disorder enables initiation of appropriate antibiotic therapy for 4 to 6 weeks, and discussion of anticoagulant therapy which indications are not yet well defined. (C) 2020 Published by Elsevier Masson SAS on behalf of Societe Nationale Francaise de Medecine Interne (SNFMI).
doi_str_mv 10.1016/j.revmed.2020.02.012
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subjects Anti-Bacterial Agents - therapeutic use
Female
Fusobacterium Infections - diagnosis
Fusobacterium Infections - drug therapy
Fusobacterium Infections - microbiology
Fusobacterium necrophorum - isolation & purification
General & Internal Medicine
Humans
Iliac Vein - microbiology
Iliac Vein - pathology
Lemierre Syndrome - diagnosis
Lemierre Syndrome - drug therapy
Lemierre Syndrome - microbiology
Life Sciences & Biomedicine
Medicine, General & Internal
Reproductive Tract Infections - diagnosis
Reproductive Tract Infections - drug therapy
Reproductive Tract Infections - microbiology
Respiratory Distress Syndrome - diagnosis
Respiratory Distress Syndrome - drug therapy
Respiratory Distress Syndrome - microbiology
Science & Technology
Sexually Transmitted Diseases - diagnosis
Sexually Transmitted Diseases - drug therapy
Sexually Transmitted Diseases - microbiology
Thrombophlebitis - diagnosis
Thrombophlebitis - drug therapy
Thrombophlebitis - microbiology
Young Adult
title Gynecological Lemierre's syndrome: A case report and literature review
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