Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
CASE REPORTS
Early Diagnosis of Lemierre's Syndrome Based on a Medical History and Physical Findings
Yutaka MurataMikio WadaAtsushi KawashimaKeizo Kagawa
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JOURNALS OPEN ACCESS

Volume 52 (2013) Issue 2 Pages 285-288

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Abstract

A 37-year-old woman presented with fever and rigor after experiencing respiratory symptoms the previous week that had resolved within a few days. On presentation, her neck was swollen along the right sternocleidomastoid muscle, and chest CT showed pulmonary septic embolisms. Lemierre's syndrome was strongly suspected based on the patient's medical history and physical findings. Further examination revealed venous thrombus, and Fusobacterium necrophorum was later isolated from blood cultures. Antibiotics for anaerobes were administered before a final diagnosis was made, and the patient's symptoms thereafter improved. A rapid diagnosis is essential, since Lemierre's syndrome can be fatal with a diagnostic delay.

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© 2013 by The Japanese Society of Internal Medicine
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