Title
Author
DOI
Article Type
Special Issue
Volume
Issue
Article Menu
Export Article
More by Authors Links
Article Data
- Views 1575
- Dowloads 140
Case Report
Open AccessLemierre’s syndrome: case of a patient with pulmonary embolism and cavernous sinus thrombosis complicating a septic internal jugular vein thrombus
Lemierre’s syndrome: case of a patient with pulmonary embolism and cavernous sinus thrombosis complicating a septic internal jugular vein thrombus
1,Department of Vascular Surgery Surgical Clinics Maribor University Clinical Center Maribor
*Corresponding Author(s): VOJKO FLIS E-mail: vojko.flis@guest.arnes.si
Abstract
Lemierre’s syndrome is a complex and unusual clinical entity, characterized by septic thrombophlebitis of the internal jugular vein. We present the case of a patient with Lemierre’s syndrome, pulmonary embolism and propagation of an internal jugular vein thrombus retrograde to the cavernous sinus. The patient was treated with antibiotics and heparin. The importance of rapid diagnosis of the extent of the disease, in directing the otherwise somewhat controversial treatment with heparin in patients with Lemierre’s syndrome, is stressed.
Keywords
Lemierre’s syndrome, internal jugular vein, septic venous thrombosis, anticoagulation trea-tment
Cite and Share
VOJKO FLIS,NINA KOBILICA,ANDREJ BERGAUER. Lemierre’s syndrome: case of a patient with pulmonary embolism and cavernous sinus thrombosis complicating a septic internal jugular vein thrombus. Signa Vitae. 2012. 7(2);60-62.
References
1. Lemierre A. On certain speticaemias due to anaerobic organisms. Lancet 1936;1:701-3.
2. Tourniaire T, Rtail R, Timi N, Righini CA. A syndrome first described in 1936, still relevant today. European Annals of Otorhinolaryngology, Head and Neck diseases 2010;doi:10.1016/j.anorl.2010.11.002.
3. Karkos PD, Asrani S, Karkos DC, Leong SC, Theocari EG, Alexopoulou TD, et al. Lemierre’s syndrome: a systematic review. The Laryngos-cope 2009;119:1552-9.
4. Puymirat E, Biais M, Camou F, Lefevre J, Guisset O, Gabinski C. A Lemierre syndrome variant caused by staphylococcus aureus. Am J Emerg Med 2008;26:380.c5-380.c7.
5. Hagelskjaer LH, Prag J, Malczynsky J. Kristensen JH. Incidence and clinical epidemiology of necrobacillosis, including Lemierre’s syndro-me, in Denmark 1990-1995. Eur J Clin Microbiol Infect Dis 1998;17:561-5.
6. Shah RK, Wofford MM, West TG, Shetty MD. Lemierre syndrome associated with group A streptoccocal infection. Am J Emerg Med 2010;28:643.e5-643.e8.
7. Hile LM, Gibbons MD, Hile DC. Lemierre syndrome complicating otitis externa: case report and literature review. Jour Emerg Med 2009;doi:10-1016/j.jemermed.2009.02.14.
8. Ramirez S, Hild TG, Rudolph CN, Styr JR, Havens P, Henrickson K, et al. Increased diagnosis of Lemierre,s syndrome and other Fusobac-terium necrophorum infections at a children’s hospital. Pediatrics 2003;112e:380.
9. Chowdhury K, Bloom J, Black MJ, al-Noury K. Spontaneous and non spontaneous internal jugular vein thrombosis. Head Neck 1990;12:168-73.
10. Castro-Marin F, Kendall JL. Diagnosis of Lemierre syndrome by bedside emergency department ultrasound. J Emerg Med 2010;39:436-9.
11. Papadopoulos D, Assimakopoulos AD. Lemierre syndrome: no delays in management. Case report. Amer J Emerg Med 2010;28:844. e1-844.e2.
12. Nadkarni MD, Verchik J, O,Neill JC. Lemierre syndrome. J Emerg Med 2005;28:297-9.
13. Hoehn S, Dominguez TE, Lemierre’s syndrome: an unusual case of sepsis and abdominal pain. Crit Care Med 2002;30:1644-7.
14. Golpe R, Marin B, Alonso M. Lemierre’s syndrome (necrobacillosis). Postgrad Med J 1999;75:141-4.
Abstracted / indexed in
Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.
Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.
Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.
Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.
Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.
Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.
Submission Turnaround Time
Conferences
Top