Diagnosis and Management of Lemierre’s Syndrome Presented with Multifocal Pneumonia and Cerebral Venous Sinus Thrombosis

A 27-year-old female patient initially presented with fever, myalgia, sore throat that progressed to multifocal pneumonia, and cerebral sinus venous thrombosis. A combination of upper respiratory symptoms with tooth infection, positive blood culture for Fusobacterium nucleatum, computed tomography (...

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Published inCase reports in infectious diseases Vol. 2020; no. 2020; pp. 1 - 5
Main Authors Ullah, Waqas, Liaqat, Adnan, Karki, Bibek, Susheela, Ammu Thampi, Sattar, Yasar, Zafrullah, Fnu
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 2020
Hindawi
John Wiley & Sons, Inc
Hindawi Limited
Subjects
Antibiotics
Anticoagulants
Anticoagulants (Medicine)
Bacterial pneumonia
Blood
Blood clot
Case Report
Case reports
Diagnosis
Diagnostic imaging
Fatalities
Fever
Hyperthermia
Infections
Intensive care
Medical examination
Metastasis
Mortality
Neck pain
Pneumonia
Sinuses
Thrombosis
Veins & arteries
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Summary:A 27-year-old female patient initially presented with fever, myalgia, sore throat that progressed to multifocal pneumonia, and cerebral sinus venous thrombosis. A combination of upper respiratory symptoms with tooth infection, positive blood culture for Fusobacterium nucleatum, computed tomography (CT) chest finding of multifocal pneumonia, and magnetic resonance imaging (MRI) finding of internal jugular vein thrombosis (IJVT) and cerebral venous sinus thrombosis (CVST) suggested Lemierre syndrome. The patient was managed with fluids, antibiotics, and anticoagulants. The patient survived and discharged from the hospital. The patient’s symptoms improved at 2 months of follow-up.
Bibliography:Academic Editor: Gloria Taliani
ISSN:2090-6625
2090-6633
DOI:10.1155/2020/6396274