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212 results for

Lemierre Syndrome

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201. Lemierre's syndrome associated with consumption coagulopathy and acute renal failure: a case report. (PubMed)

Lemierre's syndrome associated with consumption coagulopathy and acute renal failure: a case report. Acute tonsillitis or pharyngitis may lead to suppurative thrombophlebitis of the internal jugular vein. This complication, also known as Lemierre's syndrome, remains, even nowadays, life threatening, due to dissemination of septic thromboemboli to various organs. Respiratory deficiency and renal impairment are often reported in patients suffering from Lemierre's syndrome.The unusual clinical (...) manifestation of this case involves severe acute renal and respiratory deficiency in addition to microangiopathic consumption coagulopathy in a young patient treated with macrolides five days after the onset of acute tonsillitis.The usual causative pathogen, namely Fusobacterium necrophorum, shows a varying sensitivity to macrolides. As a result, the syndrome may present itself in a variety of clinical forms even in patients under treatment with macrolides. A high index of suspicion is therefore crucial

2007 Journal of Laryngology & Otology

202. Lemierre syndrome. (PubMed)

Lemierre syndrome. Lemierre syndrome is characterized by pharyngitis followed by Fusobacterium necrobacillosis sepsis complicated by internal jugular vein thrombosis and infectious metastatic abscesses. It has been considered to be a rare disease until the last decade when a larger number of cases have been reported. We discuss a case of Lemierre syndrome in a 17-year-old girl and review the pathophysiology of Fusobacterium necrobacillosis and diagnosis and treatment of Lemierre syndrome.

2005 Pediatric Emergency Care

203. Lemierre's syndrome complicating bacterial pharyngitis in a patient with undiagnosed factor XII deficiency. (PubMed)

Lemierre's syndrome complicating bacterial pharyngitis in a patient with undiagnosed factor XII deficiency. Internal jugular vein thrombosis occurs as an uncommon complication of oropharyngitis. The following case report describes a previously healthy adult woman who presented with sore throat, left ear pain, and fever. She was initially diagnosed with pharyngitis and inadvertently had blood cultures sent as part of her workup. She was then called back to the Emergency Department the following

2007 Journal of Emergency Medicine

204. Lemierre syndrome: a case report. (PubMed)

Lemierre syndrome: a case report. Lemierre syndrome is a condition that can have high morbidity and mortality, but if it is diagnosed early in a patient's workup, that is, in the ED, the morbidity and mortality can be significantly decreased. First described by Dr Andre Lemierre in 1936, Lemierre syndrome is a clinical condition, which presents as septic emboli in the internal jugular vein after an untreated pharyngitis. This condition can have significant morbidity and mortality; therefore (...) , although it is not common in today's era of antimicrobials, it should still be considered and thought of to prevent the significant consequences that may occur from it. In this article, we will present a child who was admitted for fever, neck pain, lymphadenopathy, and lung abscesses which was diagnosed as Lemierre syndrome. This syndrome will be discussed so as to heighten clinical awareness of it.

2007 Pediatric Emergency Care

205. Lemierre syndrome. (PubMed)

Lemierre syndrome. Lemierre syndrome is a disease that presents with oropharyngeal infection, sepsis, internal jugular vein thrombosis, and septic emboli with the Gram-negative organism Fusobacterium necrophorum cultured as the etiologic agent. Clindamycin, metronidazole and ampicillin-sulbactam are effective antibiotic treatments, although the length of treatment has not been firmly established. The syndrome is seen less frequently in the current age of antibiotics. It is important, however (...) , that physicians be aware of the syndrome as initiation of prompt antibiotic therapy, including anaerobic coverage, is essential for avoiding morbidity and mortality. We describe a case of Lemierre syndrome.

2005 Journal of Emergency Medicine

206. Critical care nurses be aware: Lemierre's syndrome is on the rise. (PubMed)

Critical care nurses be aware: Lemierre's syndrome is on the rise. Lemierre's syndrome (LS) typically occurs in previously healthy young adolescents and young adults who become acutely ill following an attack of pharyngotonsillitis. Also known as post anginal sepsis, those afflicted develop pyrexia, rigours and multiple metastatic abscesses that lead to septic thrombophlebitis of the internal jugular vein. In the pre-antibiotic era this particularly virulent syndrome had a mortality rate (...) and mortality. This paper discusses the aetiology, pathophysiology, bacteriology, diagnosis and management aspects of this syndrome. A case study of a young woman is presented to illustrate the complexity of the condition, and highlight how early diagnosis and prompt initiation of appropriate intravenous antibiotic therapy ensured a favourable clinical outcome.

2003 Australian Critical Care

207. Fusobacterium necrophorum-induced sepsis: an unusual case of Lemierre's syndrome. (PubMed)

Fusobacterium necrophorum-induced sepsis: an unusual case of Lemierre's syndrome. Classical Lemierre's syndrome is characterized by severe sepsis with metastatic abscess formation in young, previously fit people from a primary head or neck focus. The causative organisms are the anaerobic fusobacteria, most commonly Fusobacterium necrophorum. We describe the evaluation, therapeutic interventions and management of a patient with Lemierre's syndrome who presented in septic shock with multiple (...) , and after a further 2 weeks was discharged home from hospital. This case highlights the need to raise the awareness of 'the forgotten disease': Lemierre's syndrome. Its diagnosis may, as in this case, be confounded by a lack of symptoms of pharyngitis at the time of presentation, and end-organ dysfunction associated with severe sepsis, possibly suggesting an alternative source of infection. As appropriate antibiotics reduce mortality dramatically, clinicians need to be alert to Lemierre's syndrome

2005 Acta Anaesthesiologica Scandinavica

208. Lemierre syndrome: remember the forgotten disease. (PubMed)

Lemierre syndrome: remember the forgotten disease. 15651772 2005 03 07 2018 11 13 0041-6193 73 2 2004 Nov The Ulster medical journal Ulster Med J Lemierre syndrome: remember the forgotten disease. 123-5 McMullan R R Department of Infectious Disease, Royal Victoria Hospital, Belfast BT12 6BA. Ronan.McMullan@bll.n-i.nhs.uk McConville C C Clarke J C JC Adams D A DA Hedderwick S S eng Case Reports Journal Article Northern Ireland Ulster Med J 0417367 0041-6193 0 Anti-Bacterial Agents 0 (...) Anticoagulants IM Adolescent Anti-Bacterial Agents therapeutic use Anticoagulants therapeutic use Female Humans Jugular Veins Mastoiditis complications therapy Otitis Media complications drug therapy Otorhinolaryngologic Surgical Procedures methods Pulmonary Embolism etiology Sepsis etiology Syndrome Tomography, X-Ray Computed Treatment Outcome Venous Thrombosis complications drug therapy 2005 1 18 9 0 2005 3 8 9 0 2005 1 18 9 0 ppublish 15651772 PMC2475462 Clin Infect Dis. 2000 Aug;31(2):524-32 10987717 Ann

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2004 The Ulster medical journal

209. Bilateral intraocular involvement in Lemierre's syndrome (PubMed)

Bilateral intraocular involvement in Lemierre's syndrome 16424550 2006 02 23 2018 11 13 0007-1161 90 2 2006 Feb The British journal of ophthalmology Br J Ophthalmol Bilateral intraocular involvement in Lemierre's syndrome. 249-50 Olson J L JL Mandava N N eng Case Reports Letter England Br J Ophthalmol 0421041 0007-1161 IM Adolescent Female Fusobacterium Infections diagnosis Fusobacterium necrophorum isolation & purification Humans Pharyngeal Diseases diagnosis microbiology Syndrome Visual

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2006 The British journal of ophthalmology

210. Lemierre syndrome complicated by cavernous sinus thrombosis, the development of subdural empyemas, and internal carotid artery narrowing without cerebral infarction. Case report. (PubMed)

Lemierre syndrome complicated by cavernous sinus thrombosis, the development of subdural empyemas, and internal carotid artery narrowing without cerebral infarction. Case report. Lemierre syndrome is an extremely rare complication of mild-to-moderate pharyngeal infections. The authors present an unusual case of Lemierre syndrome in a 16-year-old boy with cavernous sinus thrombosis and right internal carotid artery narrowing without neurological sequelae, right subdural empyema, and cerebritis

2007 Journal of Neurosurgery

211. Lemierre's syndrome: a potentially fatal complication that may require vascular surgical intervention. (PubMed)

Lemierre's syndrome: a potentially fatal complication that may require vascular surgical intervention. Septic phlebitis of the internal jugular vein, Lemierre's syndrome, is extremely rare. However, Lemierre's syndrome may cause septic pulmonary emboli or result in fatal systemic sepsis, or both, if a timely diagnosis and appropriate treatment are not provided. We present a case of Lemierre's syndrome that occurred in an otherwise healthy young man. In this case, progression to a moribund state

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2005 Journal of Vascular Surgery

212. Lemierre's and Lemierre's-like syndromes in children: survival and thromboembolic outcomes. (PubMed)

Lemierre's and Lemierre's-like syndromes in children: survival and thromboembolic outcomes. Lemierre's syndrome, or jugular vein thrombosis (JVT) associated with anaerobic infection of the head and neck and frequently complicated by septic pulmonary embolism (PE), has historically been described as a disease of young adults. In recent years, an increasing number of case reports of childhood Lemierre's syndrome have been published, focusing mostly on the clinical and laboratory findings (...) at disease presentation and the outcomes of infection. Given the potentially life-threatening thromboembolic complications of this disorder, we reviewed our single-institutional experience with pediatric Lemierre's and Lemierre's-like syndromes (LALLS) from within the context of a larger cohort study of thrombosis in children.Children who were aged from birth to 21 years and had received a diagnosis of JVT and Lemierre's syndrome at the Children's Hospital (Denver, CO) between 2001 and 2005 were

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2005 Pediatrics

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