Lemierre Syndrome With Streptococcus constellatus Bacteremia

Lemierre syndrome is characterized by thrombophlebitis of the internal jugular vein (IJV) secondary to bacterial pharyngitis or tonsillitis. Though antibiotic use has made this a rarer syndrome, it can nevertheless manifest in patients presenting with pharyngitis. Herein, we describe a 20-year-old m...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2023-12, Vol.15 (12), p.e50580
Hauptverfasser: Thomas, Miles, Peterson, Christopher J, Mazin, Lauren N, Rawlins, Jonas
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creator Thomas, Miles
Peterson, Christopher J
Mazin, Lauren N
Rawlins, Jonas
description Lemierre syndrome is characterized by thrombophlebitis of the internal jugular vein (IJV) secondary to bacterial pharyngitis or tonsillitis. Though antibiotic use has made this a rarer syndrome, it can nevertheless manifest in patients presenting with pharyngitis. Herein, we describe a 20-year-old male patient with no relevant medical history presenting with signs concerning for pneumonia and was ultimately diagnosed with Lemierre syndrome with bacteremia. Complications included IJV thrombus with presumed septic emboli to the lungs. The patient was discharged on ampicillin/sulbactam with plans to transition to amoxicillin/clavulanate.
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subjects Abscesses
Anemia
Antibiotics
Blood clots
Cytomegalovirus
Ejection fraction
Emergency medical care
Hemoglobin
Hepatitis
HIV
Human immunodeficiency virus
Infections
Infectious Disease
Infectious diseases
Intensive care
Internal Medicine
Lungs
Medical imaging
Neck
Pathology
Pneumonia
Streptococcus infections
Thrombocytopenia
Ultrasonic imaging
Veins & arteries
X-rays
Young adults
title Lemierre Syndrome With Streptococcus constellatus Bacteremia
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