Síndrome de Lemierre: una enfermedad no olvidada

Llano, Luis Alejandro Pérez de; Cerro, J.L. Soilán del; Nieto, Agustín

doi:10.1016/s0300-2896(15)30666-9

Cited by 5 publications

(1 citation statement)

References 7 publications

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“…Cultures of skin pustules and pus from liver abscesses can also yield positive results,7 11 as can culture of pus obtained from empyemas 516 18 F necrophorum has also been isolated from samples obtained through bronchoscopy in a patient with septic pulmonary emboli in whom blood cultures were negative, so that this procedure should be considered in the presence of pulmonary infiltrates 28…”

Section: Diagnosismentioning

confidence: 99%

Lemierre's syndrome (necrobacillosis)

Golpe

Marín

Alonso

1999

Postgraduate Medical Journal

203

185

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SummaryLemierre's syndrome or postanginal septicaemia (necrobacillosis) is caused by an acute oropharyngeal infection with secondary septic thrombophlebitis of the internal jugular vein and frequent metastatic infections. Fusobacterium necrophorum is the most common pathogen isolated from the patients. The interval between the oropharyngeal infection and the onset of the septicaemia is usually short. The most common sites of septic embolisms are the lungs and joints, and other locations can be aVected. A high degree of clinical suspicion is needed to diagnose the syndrome. Computed tomography of the neck with contrast is the most useful study to detect internal jugular vein thrombosis. Treatment includes intravenous antibiotic therapy and drainage of septic foci. The role of anticoagulation is controversial. Ligation or excision of the internal jugular vein may be needed in some cases.

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