Lemierre's syndrome with cranial epidural abscess complication: A case report

İbrahim, İsmail Gedi; Osman, Ahmed Adam; Elmi, Abdinasir Mohamed; Küsbeci, Mahmut; Jama, Shuayb Moallım Alı; Abdullahi, Yusuf Ali,; farah, Faiza abdulkadir

doi:10.1016/j.amsu.2022.104478

Annals of Medicine &Amp; Surgery

2022

DOI: 10.1016/j.amsu.2022.104478

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Lemierre's syndrome with cranial epidural abscess complication: A case report

İsmail Gedi İbrahim¹,

Ahmed Adam Osman²,

Abdinasir Mohamed Elmi³

et al.

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2023

2024

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Cited by 3 publications

References 11 publications

(17 reference statements)

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Lemierre syndrome: the forgotten disease—a case series

Salami,

Assouan,

Nasser

et al. 2023

Egypt J Otolaryngol

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Background The aim of this work is to share the authors’ experience and assist therapeutic decision-making in the management of Lemierre syndrome (LS). This is a retrospective descriptive study carried out in the stomatology, maxillofacial surgery, and ENT departments of the teaching hospital of Treichville (Abidjan, Côte d’Ivoire). LS cases managed from 2013 to 2023 were included in the study. Results Eight patients were enrolled (six men and two women). Internal jugular vein thrombosis was unilateral in 7 cases and bilateral in one. No germs were found in four patients. In one patient, a bacterial co-infection was responsible for the thrombosis. Surgical debridement was systematically performed in cases of necrosis. Anticoagulation was justified in three patients. No deaths were observed. Conclusion This work describes the epidemiological, clinical, therapeutic, and evolutionary aspects of LS. The management of LS should not be improvised. The choice of surgical debridement and anticoagulation depends on specific situations.

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Lemierre syndrome: the forgotten disease—a case series

Salami,

Assouan,

Nasser

et al. 2023

Egypt J Otolaryngol

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Lemierre Syndrome: Incidental Finding of Forgotten Fatal Disease as a Complication of Ludwig’s Angina

Nur Iyow,

Uzel,

Ibrahim

et al. 2023

OAEM

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Pediatric Lemierre’s Syndrome: A Comprehensive Literature Review

Lavalle,

Masiello,

Cocuzza

et al. 2024

Pediatric Reports

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Background: Lemierre syndrome is a rare, potentially fatal complication of oropharyngeal infections characterized by septic thrombophlebitis of the internal jugular vein. It primarily affects healthy adolescents and young adults. Its incidence declined after the antibiotic era, but it may have resurged in recent decades, likely due to judicious antibiotic use and increasing bacterial resistance. Prompt diagnosis and treatment are imperative to prevent significant morbidity and mortality. Methods: Lemierre syndrome has been called “the forgotten disease,” with a reported incidence of around 3.6 cases per million. The mean age at presentation is around 20 years old, though it can occur at any age. Lemierre Syndrome follows an oropharyngeal infection, most commonly pharyngitis, leading to septic thrombophlebitis of the internal jugular vein. F. necrophorum is the classic pathogen, though other organisms are being increasingly isolated. Metastatic infections, especially pulmonary, are common complications. Contrast-enhanced CT of the neck confirming internal jugular vein thrombosis is the gold standard for diagnosis. Long-course broad-spectrum IV antibiotics covering anaerobes are the mainstays of the disease’s treatment. Anticoagulation may also be considered. Mortality rates are high without treatment, but most patients recover fully with appropriate therapy. Conclusions: Lemierre syndrome should be suspected in patients with prolonged pharyngitis followed by unilateral neck swelling and fevers. Early diagnosis and prompt antibiotic therapy are key, given the potential for disastrous outcomes if untreated. An increased awareness of Lemierre syndrome facilitates its timely management.

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Lemierre's syndrome with cranial epidural abscess complication: A case report

Cited by 3 publications

References 11 publications

Lemierre syndrome: the forgotten disease—a case series

Lemierre syndrome: the forgotten disease—a case series

Lemierre Syndrome: Incidental Finding of Forgotten Fatal Disease as a Complication of Ludwig’s Angina

Pediatric Lemierre’s Syndrome: A Comprehensive Literature Review

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