Lemierre syndrome: Difference between revisions
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* [[Fusobacterium necrophorum]], the most common cause |
* [[Fusobacterium necrophorum]], the most common cause |
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* Other oral flora, including [[Fusobacterium |
* Other oral flora, including [[Fusobacterium]], [[Staphylococcus aureus]], and [[Streptococcus pyogenes]] |
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== Clinical Manifestations == |
== Clinical Manifestations == |
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Revision as of 23:46, 31 January 2022
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, 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
- Piperacillin-tazobactam or ampicillin-sulbactam
- Unclear if need for anticoagulation
