Lemierre syndrome caused by oral sex

Takenouchi, Seiji; Kunieda, Takeshige; Yamada, Rie; Yamakita, Noriyoshi

doi:10.1016/j.jfma.2012.10.005

Cited by 8 publications

(5 citation statements)

References 3 publications

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“…Such viral or bacterial pharyngitis was reported to be a risk of LS by damaging oropharyngeal mucosa [6]. In a past study, "forcible oral sex" was reported to be a cause of oropharyngeal mucosal disruption [4]. In our case, the patient did not have forceful oral sex with his girlfriend, and it was not physical oropharyngeal mucosal disruption but pharyngitis by MP or EBV transmitted from his girlfriend that was considered a cause of LS.…”

Section: Discussionmentioning

confidence: 53%

“…Although the source of infection is usually considered to be the oropharynx, bacteria from other parts of the body including the urogenital and intestinal tract are reported to cause LS [3]. Although LS by Fusobacterium species suspected to be caused by pharyngeal trauma during oral sex had been reported, LS is rarely recognized as a sexually transmitted disease [4].…”

Section: Introductionmentioning

confidence: 99%

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Lemierre’s Syndrome as a Sexually Transmitted Disease Due to Porphyromonas asaccharolytica Suspected to Be Caused by Pharyngitis Due to Mycoplasma pneumoniae and Epstein-Barr Virus

Ueno¹,

Horiuchi²,

Utada³

et al. 2022

Cureus

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Porphyromonas asaccharolytica rarely causes Lemierre's syndrome (LS), which is characterised by sepsis and thrombophlebitis of the internal jugular vein.An 18-year-old man presented with fever and a sore throat after sexual contact containing oral sex, and his blood sample was positive for atypical lymphocytes. Infectious mononucleosis was suspected initially. However, laboratory data showed elevated D-dimer and procalcitonin levels, and a computed tomography scan showed a thrombus in the internal jugular vein leading to the diagnosis of LS. The Mycoplasma pneumoniae (MP) IgM titre was 1:640 (normal, ≦1:40), and the Epstein-Barr nuclear antigen titre (taken 59 days after admission) was 1:10 (normal, <1:10). It was assumed that LS developed after infection with Epstein-Barr virus (EBV) and MP.LS should be suspected in young patients with fever and sore throat with a history of recent sexual contact. As pharyngitis was considered the cause of LS, evaluation of the preceding infection such as MP or EBV leading to pharyngitis should also be considered.

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Section: Discussionmentioning

confidence: 53%

Section: Introductionmentioning

confidence: 99%

Lemierre’s Syndrome as a Sexually Transmitted Disease Due to Porphyromonas asaccharolytica Suspected to Be Caused by Pharyngitis Due to Mycoplasma pneumoniae and Epstein-Barr Virus

Ueno¹,

Horiuchi²,

Utada³

et al. 2022

Cureus

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“…Its mortality rate while treated is high (5 to 18%) especially since it affects young and healthy patients [ 5 , 6 ]. Two cases of sexually transmitted Lemierre's syndrome have been described in older patients [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

Severe Sepsis Associated with Lemierre’s Syndrome: A Rare but Life-Threatening Disease

Tawa¹,

Larmet²,

Malledant

et al. 2016

Case Reports in Critical Care

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Background. The incidence of Lemierre's syndrome has increased in the past decade. This posttonsillitis complication may be life threatening. Case Presentation. A 19-year-old patient was admitted to Surgical Intensive Care Unit of a French University Hospital for high fever, low blood pressure, and haemoptysis following a sore throat episode. Blood analysis revealed a thrombopenia, an acute renal failure, and an elevated lactate serum. Fusobacterium necrophorum was found in blood cultures. Computed tomography of the neck and lungs confirmed the diagnosis of Lemierre's syndrome: pleural effusions, bilateral lung infiltrates, and an internal jugular vein thrombosis. Fluid administration and antibiotic treatment were quickly initiated. Patient left the unit four days after his admission without any organ dysfunction. Conclusion. Lemierre's syndrome may lead to multiorgan dysfunction and should be rapidly identified.

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“…50 Takenouchi et al also reported a rare infection, Lemierre syndrome, in a 58-year-old man after oral sex with a sexual partner two days previously. 51 Lemierre syndrome is characterized by thrombophlebitis of the internal jugular veins and bacteremia caused by anaerobic organisms following a recent oropharyngeal infection. 52 Cunnilingus should be avoided in pregnant women.…”

Section: Perspectives and Motives In Oral Sexmentioning

confidence: 99%

Framing and understanding the whole aspect of oral sex from social and health perspective: a narrative review

Pakpahan¹,

Darmadi²,

Agustinus³

et al. 2022

F1000Res

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Since thousands of years ago, oral sex has become part of sexual behavior among humans. Oral sex is considered taboo. Its taboo does not lie in the behavior, but its expression is deemed inappropriate. As technology becomes more sophisticated, human rights also stand out, leading to the disclosure of the practice in the 21st century. The oral sex that is discussed on a large scale in media encourages people to express it as feedback whether within right or not. It all depends on the value of each people. We found that this sexual behavior is found everywhere regardless of religion, culture, and race. Pop culture influences this behavior so much, it can be seen from music, movies, and television programs that provoke oral sex. Many motivations underlying this behavior include getting sexual pleasure for the sake of psychological well-being. But it is undeniable that this behavior is still controversial. It could be at risk of causing disease and, on the other hand, is reported to provide many benefits. According to our theory, oral sex is not a new behavior crossing boundaries. It is just an old behavior that surfaces because of the factors that support it. This behavior, which is still considered taboo, has its disadvantages such as sexually transmitted disease and oral cancer but has also benefits such as preventing preeclampsia.

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Lemierre syndrome caused by oral sex

Cited by 8 publications

References 3 publications

Lemierre’s Syndrome as a Sexually Transmitted Disease Due to Porphyromonas asaccharolytica Suspected to Be Caused by Pharyngitis Due to Mycoplasma pneumoniae and Epstein-Barr Virus

Lemierre’s Syndrome as a Sexually Transmitted Disease Due to Porphyromonas asaccharolytica Suspected to Be Caused by Pharyngitis Due to Mycoplasma pneumoniae and Epstein-Barr Virus

Severe Sepsis Associated with Lemierre’s Syndrome: A Rare but Life-Threatening Disease

Framing and understanding the whole aspect of oral sex from social and health perspective: a narrative review

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