Lemierre syndrome caused by Arcanobacterium haemolyticum

A54-year-old male smoker was admitted to our .hospital after undergoing the drainage of a leftperitonsillar abscess. Ten days prior to admission （day 1）, he complained of a ＂scratchy＂ throat with a fever of 38.5℃. He had an enlarged left tonsil with prominent exudate; white blood cell count （WCC） 8....

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Published inChinese medical journal Vol. 126; no. 2; pp. 391 - 392
Main Authors JI, Ying-qun, WANG, Jing, KONG, Li-qin, Sandya Juggessur-Mungur, Keeran, WU, Tai-hua, ZHANG, Zhong-he
Format Journal Article
LanguageEnglish
Published China Department of Respiratory Diseases First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, China%Department of Medical Microbiology Laboratory First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, China%Department of Pharmacy First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, China 01.01.2013
Subjects
Anti-Bacterial Agents - therapeutic use
Anticoagulants - therapeutic use
Arcanobacterium - isolation & purification
Humans
Lemierre Syndrome - drug therapy
Lemierre Syndrome - microbiology
Male
Middle Aged
扁桃体
溶血
白细胞计数
综合征
血小板计数
阿奇霉素
青霉素G
静脉注射
Fusobacterium necrophorum
Arcanobacterium haemolyticum
Lemierre syndrome
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Summary:A54-year-old male smoker was admitted to our .hospital after undergoing the drainage of a leftperitonsillar abscess. Ten days prior to admission （day 1）, he complained of a ＂scratchy＂ throat with a fever of 38.5℃. He had an enlarged left tonsil with prominent exudate; white blood cell count （WCC） 8.8×109/L; platelet count （Plt） 103 × 109/L; chest X-ray was normal in a medical clinic. Then the patient received an intravenous injection of 4 million units of penicillin G every 6 hours and 500 mg of oral azithromycin once daily. But his condition worsened with a temperature of 41℃ and laryngoscopy confirmed a marked left-sided peritonsillar abscess which was drained. On day 10, the patient was transferred to our hospital after developing persistent fever, rigors, left-sided neck pain, pain on swallowing and purulent bloody sputum.
Bibliography:Lemierre syndrome, Arcanobacterium haemolyticum; Fusobacterium necrophorum
JI Ying-qun, WANG Jing, KONG Li-qin, Keeran Sandya Juggessur-Mungur, WU Tai-hua and ZHANG Zhong-he
11-2154/R
A54-year-old male smoker was admitted to our .hospital after undergoing the drainage of a leftperitonsillar abscess. Ten days prior to admission （day 1）, he complained of a ＂scratchy＂ throat with a fever of 38.5℃. He had an enlarged left tonsil with prominent exudate; white blood cell count （WCC） 8.8×109/L; platelet count （Plt） 103 × 109/L; chest X-ray was normal in a medical clinic. Then the patient received an intravenous injection of 4 million units of penicillin G every 6 hours and 500 mg of oral azithromycin once daily. But his condition worsened with a temperature of 41℃ and laryngoscopy confirmed a marked left-sided peritonsillar abscess which was drained. On day 10, the patient was transferred to our hospital after developing persistent fever, rigors, left-sided neck pain, pain on swallowing and purulent bloody sputum.
ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0366-6999
2542-5641
2542-5641
DOI:10.3760/cma.j.issn.0366-6999.20122805