Lemierre syndrome - Revision history

Aidan at 17:12, 22 February 2022

2022-02-22T17:12:03Z

← Older revision		Revision as of 17:12, 22 February 2022
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	== Clinical Manifestations ==		== Clinical Manifestations ==

	* Acute pharyngitis that becomes severe		* [[Acute pharyngitis]] that becomes severe
	* Neck pain		* Neck pain
	* Fever		* Fever
	* May have septic emboli, including to lung		* May have [[septic emboli]], including to lung

	== Diagnosis ==		== Diagnosis ==
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	* [[Is treated by::Piperacillin-tazobactam]] or [[Is treated by::ampicillin-sulbactam]]		* [[Is treated by::Piperacillin-tazobactam]] or [[Is treated by::ampicillin-sulbactam]]
			*May step down to oral [[amoxicillin-clavulanic acid]] when clearly improving
			*Duration 3 to 6 weeks total, for example 2 weeks IV and 2 weeks p.o.)
			*Alternatives include [[penicillin G]] (if susceptible), [[clindamycin]], [[Carbapenem\|carbapenems]], and [[metronidazole]] (occasionally resistant)
			*Resistant to [[Macrolide\|macrolides]]
	* Unclear if need for anticoagulation		* Unclear if need for anticoagulation

Aidan: Text replacement - " species]]" to "]]"

2022-01-31T23:46:30Z

Text replacement - " species]]" to "]]"

← Older revision		Revision as of 23:46, 31 January 2022
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	* [[Fusobacterium necrophorum]], the most common cause		* [[Fusobacterium necrophorum]], the most common cause
	* Other oral flora, including [[Fusobacterium ~~species~~]], [[Staphylococcus aureus]], and [[Streptococcus pyogenes]]		* Other oral flora, including [[Fusobacterium]], [[Staphylococcus aureus]], and [[Streptococcus pyogenes]]

	== Clinical Manifestations ==		== Clinical Manifestations ==

Aidan: Created page with "== Background == * Suppurative thrombophlebitis involving the jugular vein following acute pharyngitis, classically secondary to Fusobacterium necrophorum === Microbiolo..."

2020-08-12T16:01:47Z

Created page with "== Background == * Suppurative thrombophlebitis involving the jugular vein following acute pharyngitis, classically secondary to Fusobacterium necrophorum === Microbiolo..."

New page

== Background ==

* Suppurative thrombophlebitis involving the jugular vein following acute pharyngitis, classically secondary to [[Fusobacterium necrophorum]]

=== Microbiology ===

* [[Fusobacterium necrophorum]], the most common cause
* Other oral flora, including [[Fusobacterium species]], [[Staphylococcus aureus]], and [[Streptococcus pyogenes]]

== Clinical Manifestations ==

* Acute pharyngitis that becomes severe
* Neck pain
* Fever
* May have septic emboli, including to lung

== Diagnosis ==

* CT with contrast demonstrating internal jugular thrombosis
* Blood cultures positive to causative organism

== Management ==

* [[Is treated by::Piperacillin-tazobactam]] or [[Is treated by::ampicillin-sulbactam]]
* Unclear if need for anticoagulation

[[Category:Infectious diseases]]
[[Category:Head and neck infections]]
[[Category:Endovascular infections]]