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Lemierre Syndrome

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101. A Case of Reactive Cervical Lymphadenopathy with Fat Necrosis Impinging on Adjacent Vascular Structures Full Text available with Trip Pro

. Additionally, the enlarged lymph node was compressing the internal jugular vein in the setting of oral contraceptive use by the patient, raising concern for Lemierre's syndrome or internal jugular vein thrombosis. This report shows how, in the appropriate clinical context, and especially with the involvement of adjacent respiratory or neurovascular structures, aggressive diagnostic testing can be indicated.

2016 Case reports in otolaryngology

102. To anticoagulate? Controversy in the management of thrombotic complications of head & neck infections. (Abstract)

To anticoagulate? Controversy in the management of thrombotic complications of head & neck infections. To review the thrombotic complications of head and neck infections, including Lemierre's syndrome, and their management.A retrospective review of pediatric patients presenting to McMaster Children's Hospital from 2009 to 2013 was undertaken. The literature was reviewed for evidence regarding the use of anticoagulation therapy in this population.Eleven cases (6 males, 5 females) were identified (...) within a median of 3.4 months (range 1.0-13.9). Adverse sequelae from the thrombi were MCA infarct (n = 1), septic pulmonary emboli (n = 4), cranial nerve palsies (n = 3) and Horner's syndrome (n = 2). There were no adverse effects from anti-coagulation therapy. Review of the literature revealed anticoagulant use in 63.7% of pediatric cases reported since 2002.Anticoagulation remains controversial in the management of thrombotic complications from head and neck infections. Based on this case series

2016 International Journal of Pediatric Otorhinolaryngology

103. Microbiology of Para- og Retropharyngeal Abscess

findings in concomitant peritonsillar and parapharyngeal abscesses. Characterize patients with para- and retropharyngeal abscess. Compare the concentration of amylase in para- and retropharyngeal abscesses and neck abscesses without relation to the pharynx or salivary glands. Perform gene-sequencing of F. Necrophorum strains, and compare these with strains recovered from patients with acute tonsillitis, peritonsillar abscess, and Lemierre´s syndrome. Condition or disease Intervention/treatment (...) abscess bacteriology Fusobacterium necrophorum Additional relevant MeSH terms: Layout table for MeSH terms Abscess Retropharyngeal Abscess Suppuration Infection Inflammation Pathologic Processes Pharyngitis Pharyngeal Diseases Stomatognathic Diseases Respiratory Tract Infections Respiratory Tract Diseases Otorhinolaryngologic Diseases

2015 Clinical Trials

104. Fusobacterial head and neck infections in children. (Abstract)

Fusobacterial head and neck infections in children. Fusobacterium species are increasingly recognized as a cause of head and neck infections in children. These infections include acute and chronic otitis, sinusitis, mastoiditis, and tonsillitis; peritonsillar and retropharyngeal abscesses; Lemierre syndrome; post-anginal cervical lymphadenitis; and periodontitis. They can also be involved in brain abscess and bacteremia associated with head and neck infections. This review describes

2015 International Journal of Pediatric Otorhinolaryngology

105. Funtabulously Frivolous Friday Five 149

folds of skin around the neck and jaw. [ ] Question 2 Which subgroup of the working populous is affected by foam mattress-back syndrome? Medical Residents Back pain from sleeping on cheap hospital mattresses instead of their home finely sprung cotton mattress. [ ] Question 3 What is the forgotten disease? Lemierre’s syndrome Septic thrombophlebitis of the internal jugular vein from an oropharyngeal infection. Typically the patient will have pain, swelling and induration at the angle of the mandible (...) and is of high importance to NASA. Anthropologist John Moore believed 160 breeding individuals with no major genetic disorders could populate other planets but would need new genetic material within 200 years. [ ] …and over on Capitol Hill Last update: [last-modified] Share this: Filed Under: Tagged With: , , , , , , About Neil Long Emergency Physician working in Vancouver. Loves the misery of alpine climbing and working in austere environments. Supporter of FOAMed, tox, sim, ultrasound and any other project

2016 Life in the Fast Lane Blog

106. Primary Care Corner with Geoffrey Modest MD: Antibiotic Overprescribing and Acute Respiratory Infections

(as in, billion)​ in 2009, with $6.5 b in the community setting 41% of prescriptions are for respiratory conditions There are >2M antibiotic-resistant illnesses and 23K deaths in US/yr, with cost of $30 b Higher rates of multi-drug resistant pneumococcal disease occur in places where there is more prescribing of broad-spectrum antibiotics, esp extended-spectrum cephalosporins and macrolides And, antibiotics as a group are responsible for the largest number of medication-related adverse events, including 20 (...) anterior cervical nodes, absence of cough), BUT because the positive predictive value for group A strep is so low, the IDSA (Infectious Diseases Society of America) only suggests using these as a means to do no further testing or prescribing antibiotics if there are <3 criteria. Some patients present with severe signs/symptoms, such as difficulty swallowing, drooling, neck tenderness or swelling, and should be evaluated for peritonsillar abscess, parapharyngeal abscess, epiglottitis, Lemierre syndrome

2016 Evidence-Based Medicine blog

107. Cefepime for Injection USP and Dextrose Injection USP in the Duplex® Container

therapy and anticonvulsant treatment. A fatal outcome was reported in four cases. According to the articles, the causes of deaths were related to patient’s underlying medical illness. One patient died of multi-organ failure with refractory status epilepticus (SE) and coma. The case report describes a 15 year old girl on hemodialysis since the age of 4 years for end stage renal disease secondary to polycystic kidney. She was admitted to the hospital with a history of fever for 3 days. Blood culture (...) encephalopathy are two different clinical conditions that can cause a confusional state. It is very important to be able to distinguish these entities because treatment varies based on the diagnosis. According to Maganti et al, from the practical standpoint, NCSE can be defined as a condition with prolonged state of impaired consciousness or altered sensorium associated with continuous paroxysmal activity or EEG discharges. Etiology varies and includes metabolic/medical disorders; medications (e.g

2009 FDA - Drug Approval Package

108. Fusobacterium necrophorum tonsillitis: an important cause of tonsillitis in adolescents and young adults. Full Text available with Trip Pro

with clinical tonsillitis (27%) compared to subjects with no clinical tonsillitis (6%). These results clearly demonstrate the role of F. necrophorum in tonsillitis. By diagnosing and treating F. necrophorum tonsillitis with, for example, penicillin, metronidazole, or both, we might prevent some cases of Lemierre syndrome.Copyright © 2014 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

2014 Clinical Microbiology and Infection

109. A 28-year-old pregnant woman with a very rare cause of jugular vein thrombosis. (Abstract)

A 28-year-old pregnant woman with a very rare cause of jugular vein thrombosis. During pregnancy, venous thrombosis of the distal extremities is not uncommon. However, thrombosis in the upper part of the body, such as jugular vein thrombosis, is rare. If underlying causes such as ovarian hyperstimulation syndrome (OHSS) or septic thrombophlebitis (Lemierre's syndrome) are excluded, a serous borderline ovary tumour (BOT) must be considered and MR imaging of the abdomen could be performed to find

2014 Netherlands Journal of Medicine

110. Thrombophlebitis (Follow-up)

a sore throat to the intensive care unit: the Lemierre syndrome. Wien Klin Wochenschr . 2006 May. 118(7-8):243-6. . Brinsuk M, Tank J, Luft FC, Busjahn A, Jordan J. Heritability of venous function in humans. Arterioscler Thromb Vasc Biol . 2004 Jan. 24(1):207-11. . Tröbinger C, Wiedermann CJ. Bodybuilding-induced Mondor's disease of the chest wall. Phys Ther Sport . 2017 Jan. 23:133-135. . Amano M, Shimizu T. Mondor's Disease: A Review of the Literature. Intern Med . 2018 May 18. . Belcaro G (...) venous thromboembolism. Thromb Haemost . 1997 Oct. 78(4):1183-8. . Beller FK. Thromboembolic disease in pregnancy. Anderson A, ed. Thromboembolic Disorders . New York, NY: Harper & Row; 1968. Homans J. Thrombosis of the deep leg veins due to prolonged sitting. N Engl J Med . 1954 Jan 28. 250(4):148-9. . Lord RS, McGrath M. Travelers venous thrombosis. 1993. Cushman M. Epidemiology and risk factors for venous thrombosis. Semin Hematol . 2007 Apr. 44(2):62-9. . Lord RS. Air travel-related deep venous

2014 eMedicine.com

111. Thrombophlebitis (Diagnosis)

(11):2189-96. . Hochmair M, Valipour A, Oschatz E, Hollaus P, Huber M, Chris Burghuber O. From a sore throat to the intensive care unit: the Lemierre syndrome. Wien Klin Wochenschr . 2006 May. 118(7-8):243-6. . Brinsuk M, Tank J, Luft FC, Busjahn A, Jordan J. Heritability of venous function in humans. Arterioscler Thromb Vasc Biol . 2004 Jan. 24(1):207-11. . Tröbinger C, Wiedermann CJ. Bodybuilding-induced Mondor's disease of the chest wall. Phys Ther Sport . 2017 Jan. 23:133-135. . Amano M (...) Author: Padma Chitnavis, MD; Chief Editor: Dirk M Elston, MD Share Email Print Feedback Close Sections Sections Thrombophlebitis Overview Background Thrombophlebitis involves the formation of a blood clot in the presence of venous inflammation or injury. Many innate conditions may predispose patients to thrombophlebitis by means of a variety of hypercoagulopathy syndromes. [ ] Traumatic events can also initiate a thrombophlebitic reaction. In addition, the persistence of significant reflux

2014 eMedicine.com

112. Upper Respiratory Tract Infection (Diagnosis)

syndrome (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections). Hemoptysis suggests the possibility of tuberculosis. A tuberculin skin test, chest radiography, or both are appropriate in these patients. Complications of specific conditions Complications of group A streptococcal disease Group A streptococcal pharyngitis is of special concern because its complications include streptococcal toxic shock syndrome, acute rheumatic fever (ARF), acute glomerulonephritis (...) > Upper Respiratory Tract Infection Updated: Jun 21, 2018 Author: Anne Meneghetti, MD; Chief Editor: Zab Mosenifar, MD, FACP, FCCP Share Email Print Feedback Close Sections Sections Upper Respiratory Tract Infection Overview Practice Essentials Upper respiratory tract infection (URI) represents the most common acute illness evaluated in the outpatient setting. URIs range from the common cold—typically a mild, self-limited, catarrhal syndrome of the nasopharynx—to life-threatening illnesses

2014 eMedicine.com

113. Lung Abscess (Diagnosis)

, not 1, but 4 microbes, thought to be Fusobacterium nucleatum, Peptostreptococcus species, a fastidious gram-negative anaerobe, and, possibly, Prevotella melaninogenicus . Lung abscess was a devastating disease in the preantibiotic era, when one third of the patients died, another one third recovered, and the remainder developed debilitating illnesses such as recurrent abscesses, chronic empyema, bronchiectasis, or other consequences of chronic pyogenic infections. In the early postantibiotic period (...) necrosis 7-14 days later, resulting in formation of lung abscess. Other mechanisms for lung abscess formation include bacteremia or tricuspid valve endocarditis causing septic emboli (usually multiple) to the lung. Lemierre syndrome, an acute oropharyngeal infection followed by of the internal jugular vein, is a rare cause of lung abscesses. The oral anaerobe F necrophorum is the most common pathogen. Microbiology Because of the difficulty obtaining material uncontaminated by nonpathogenic bacteria

2014 eMedicine.com

114. Infectious Mononucleosis (Diagnosis)

pneumoniae preceding Lemierre's syndrome due to Fusobacterium nucleatum complicated by acute Epstein-Barr virus (EBV) infectious mononucleosis in an immunocompetent host. Heart Lung . 2013 Jan. 42(1):74-6. . Klemola E, Von Essen R, Henle G, et al. Infectious-mononucleosis-like disease with negative heterophil agglutination test. Clinical features in relation to Epstein-Barr virus and cytomegalovirus antibodies. J Infect Dis . 1970 Jun. 121(6):608-14. . Koj IG, Cunha BA. EBV infectious mononucleosis (...) of mononucleosis-like illnesses. Am J Med . 2007 Oct. 120(10):911.e1-8. . Schlossberg D. Infectious Mononucleosis . 2nd Ed. New York: Springer-Verlag; 1988. Jacobs BC, Rothbarth PH, van der Meche FG, et al. The spectrum of antecedent infections in Guillain-Barre syndrome: a case-control study. Neurology . 1998 Oct. 51(4):1110-5. . Jappe U. Amoxicillin-induced exanthema in patients with infectious mononucleosis: allergy or transient immunostimulation?. Allergy . 2007 Dec. 62(12):1474-5. . Jenson HB. Acute

2014 eMedicine.com

115. Infectious Mononucleosis (Overview)

pneumoniae preceding Lemierre's syndrome due to Fusobacterium nucleatum complicated by acute Epstein-Barr virus (EBV) infectious mononucleosis in an immunocompetent host. Heart Lung . 2013 Jan. 42(1):74-6. . Klemola E, Von Essen R, Henle G, et al. Infectious-mononucleosis-like disease with negative heterophil agglutination test. Clinical features in relation to Epstein-Barr virus and cytomegalovirus antibodies. J Infect Dis . 1970 Jun. 121(6):608-14. . Koj IG, Cunha BA. EBV infectious mononucleosis (...) of mononucleosis-like illnesses. Am J Med . 2007 Oct. 120(10):911.e1-8. . Schlossberg D. Infectious Mononucleosis . 2nd Ed. New York: Springer-Verlag; 1988. Jacobs BC, Rothbarth PH, van der Meche FG, et al. The spectrum of antecedent infections in Guillain-Barre syndrome: a case-control study. Neurology . 1998 Oct. 51(4):1110-5. . Jappe U. Amoxicillin-induced exanthema in patients with infectious mononucleosis: allergy or transient immunostimulation?. Allergy . 2007 Dec. 62(12):1474-5. . Jenson HB. Acute

2014 eMedicine.com

116. Arcanobacterium Haemolyticum (Treatment)

report. Ophthal Plast Reconstr Surg . 2015 Mar-Apr. 31 (2):e31-3. . Balakrishnan D. Arcanobacterium Hemolyticum Chorioamnionitis Leading to Preterm Labour – A Case Report. Basic Sci Med . 2017. 6(1):1-4. Smith HM, Arul I. Wound Infection and Sepsis Caused by Arcanobacterium haemolyticum. Clin Microbiol News . 2016. 38(6):49-50. Younus F, Chua A, Tortora G, Jimenez VE. Lemierre's disease caused by co-infection of Arcanobacterium haemolyticum and Fusobacterium necrophorum: a case report. J Infect (...) you like to print? Sections Arcanobacterium Haemolyticum Find Us On About Membership WebMD Network Editions All material on this website is protected by copyright, Copyright © 1994-2019 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Arcanobacterium Haemolyticum) and Arcanobacterium Haemolyticum What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According

2014 eMedicine.com

117. Infectious Mononucleosis (Treatment)

-Barr virus (EBV) infectious mononucleosis. Next: Surgical Care Surgery is necessary for spontaneous splenic rupture, which occurs in rare patients with EBV infectious mononucleosis and may be the initial manifestation of the condition. Previous Next: Consultations Consult an infectious disease specialist in all but the most straightforward cases of EBV infectious mononucleosis. Consulting a hematologist may be necessary if unusual hematologic manifestations of EBV infectious mononucleosis (...) with human neoplasia. Pathol Annu . 1992. 27 Pt 1:55-74. . Gill MV, Cunha BA. Streptococcal colonization versus infection. Infect Dis Pract . 1994. 18:16. Glaser SL, Lin RJ, Stewart SL, Ambinder RF, Jarrett RF, Brousset P, et al. Epstein-Barr virus-associated Hodgkin's disease: epidemiologic characteristics in international data. Int J Cancer . 1997 Feb 7. 70(4):375-82. . Godshall SE, Kirchner JT. Infectious mononucleosis. Complexities of a common syndrome. Postgrad Med . 2000 Jun. 107(7):175-9, 183-4

2014 eMedicine.com

118. Pharyngitis, Bacterial (Treatment)

bacterial infection, antibiotics should not be prescribed. In contrast, a steroid may be prescribed to relieve symptoms in patients with infectious mononucleosis. Previous Next: Consultations An otolaryngologist should be consulted for local suppurative complications such as peritonsillar abscess and . may be considered in recurrent GABHS infection. [ , ] An infectious diseases expert may be consulted for patients with immunocompromising conditions or when an agent other than GABHS (eg, HIV (...) ) is suspected or confirmed. Previous Next: Diet Allow a regular diet as tolerated in patients with bacterial pharyngitis. Warm liquids may provide symptomatic relief. Previous Next: Activity Encourage rest during the acute illness. Previous Next: Prevention Patients with bacterial pharyngitis should be kept out of daycare, school, or work until 24 hours after the initiation of antibiotics. Vaccination Despite the massive disease burden caused by S pyogenes (GAS) infection, no licensed vaccine is available

2014 eMedicine.com

119. Pharyngitis, Bacterial (Overview)

information on pharyngitis in children, see the Medscape Reference article . Previous Next: Prognosis GABHS pharyngitis is usually a self-limited illness. Throat symptoms resolve within 3-4 days in untreated patients. Administration of penicillin shortly after disease onset may shorten symptoms by 1-2 days. [ ] Previous Next: Patient Education Symptomatic relief may be provided by warm saline gargles, throat lozenges, and ibuprofen. Acetaminophen or ibuprofen can be used for fever relief. Patients (...) . Clin Microbiol Infect . 2007 Jul. 13(7):695-701. . Lundin MS, Bastakoti S, Havlichek D, Laird-Fick H. Lemierre's syndrome and 2016 American College of Physician guidelines for pharyngitis: no to empiric coverage for bacterial pharyngitis. While no role for routine Fusobacterium PCR, keep suspicion for this pathogen. BMJ Case Rep . 2018 Jul 19. 2018: . Catanzaro FJ, Stetson CA, Morris AJ, et al. The role of the streptococcus in the pathogenesis of rheumatic fever. Am J Med . 1954 Dec. 17(6):749-56

2014 eMedicine.com

120. Thrombophlebitis (Treatment)

a sore throat to the intensive care unit: the Lemierre syndrome. Wien Klin Wochenschr . 2006 May. 118(7-8):243-6. . Brinsuk M, Tank J, Luft FC, Busjahn A, Jordan J. Heritability of venous function in humans. Arterioscler Thromb Vasc Biol . 2004 Jan. 24(1):207-11. . Tröbinger C, Wiedermann CJ. Bodybuilding-induced Mondor's disease of the chest wall. Phys Ther Sport . 2017 Jan. 23:133-135. . Amano M, Shimizu T. Mondor's Disease: A Review of the Literature. Intern Med . 2018 May 18. . Belcaro G (...) venous thromboembolism. Thromb Haemost . 1997 Oct. 78(4):1183-8. . Beller FK. Thromboembolic disease in pregnancy. Anderson A, ed. Thromboembolic Disorders . New York, NY: Harper & Row; 1968. Homans J. Thrombosis of the deep leg veins due to prolonged sitting. N Engl J Med . 1954 Jan 28. 250(4):148-9. . Lord RS, McGrath M. Travelers venous thrombosis. 1993. Cushman M. Epidemiology and risk factors for venous thrombosis. Semin Hematol . 2007 Apr. 44(2):62-9. . Lord RS. Air travel-related deep venous

2014 eMedicine.com

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