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Lemierre syndrome: a case of a rarely isolated microorganism, Staphylococcus auerus

Berit Gokce Ceylan, Lutfi Yavuz, Cetin Lutfi Baydar, Mustafa Tuz, Fusun Eroglu, Ilker Kiris, Fusun Zeynep Akcam, Bulent Erdem

Med Sci Monit 2009; 15(3): CS58-61

ID: 869574

Published: 2009-02-21


Background: Lemierre syndrome is an extremely rare complication of mild-to-moderate pharyngeal infections that causes septic embolization to the lungs and other distant sites. One-third of cases present a polymicrobial bacteremia, although the most isolated microorganism is Fusobacterium necrophorum. A case of postanginal sepsis caused by a rarely isolated microorganism, Staphylococcus auerus, in a geriatric patient is reported.
Material and Method: An 80-year-old man was admitted to hospital with fever and sore throat. Doppler ultrasonography imaging of the neck veins demonstrated an occlusive thrombus in the right internal jugular vein. Clinical deterioration occurred in spite of all ICU therapy. The revealed right internal jugular vein filled with thrombus. Staphylococcus aureus was cultivated on blood and urine samples.
Results:
Conclusions: The responsible microorganism and the advanced age of the patient may make clinicians aware of the variants of this syndrome.

Keywords: Postmortem Changes, Staphylococcus aureus - isolation & purification, Jugular Veins - pathology, Male, Humans, Aged, Fatal Outcome, Abnormalities, Multiple - microbiology, Thrombosis - complications, Syndrome



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