Une cellulite nécrosante cervicale révélant un syndrome de Lemierre

Assouan, C.; Salami, A.; Anzouan-Kacou, E.; N'guessan, N. D.; Konan, E.

doi:10.1016/j.revsto.2016.01.001

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…It represents an essential part of the care. It makes it possible to eliminate all local sources favoring anaerobic conditions [13]. This treatment allows for a favorable evolution, which was the case for our patient.…”

Section: Discussionmentioning

confidence: 64%

“…LS must systematically be part of the differential diagnosis in a child, adolescent or young adult presenting with an oropharyngeal infection which progresses unfavorably, with the appearance of local complications (painful swelling of the cervical region) or a serious septic state not present. controlled [7,13]. The pathogen most commonly responsible is a Gramnegative anaerobic bacterium, Fusobacterium necrophorum (FN) [2,3,5,6].…”

Section: Discussionmentioning

confidence: 99%

“…As a result, it constitutes an excellent element for monitoring patients [3,6]. However, it does not allow the identification of subclavicular, retro-mandibular and early thrombi [6,12,13]. Cervical MRI allows a precise study of the extension of the thrombus and a mapping of possible loco-regional complications [3,11].…”

Section: Discussionmentioning

confidence: 99%

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Lemierre's Syndrome and Nasopharyngitis in Children: DIAGNOSIS and Treatment

Djibril,

Youssouf,

Maimouna

et al. 2024

IJO

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Introduction: Lemierre’s syndrome (LS) is a rare but serious infectious emergency. It can be life threatening. It is a sepsis difficult to recognize and most often due to Fusobacterium necrophorum. The purpose of this case report was to discuss the diagnosis and treatment of Lemierre syndrome in children. Observation: A three-year-old child consulted for rhinopharyngitis complicated by an abscessed cervical adenophlegmon. The symptomatology had been evolving for 7 days with a notion of self-medication. The blood cell count showed hyperleukocytosis at 14.06.103 elements/mm3, anemia at 8.2.106 elements/mm3, and platelets at 102.103 elements/mm3. CRP was 258.5 mg/dL. HIV serology was negative. Bacteriological culture of the biological fluids collected (abscess pus, blood and joint fluid) was sterile. The CT scan revealed a collection of abscesses in the right sub-angulo-mandibular region. It was associated with thrombophlebitis of the internal jugular vein, as well as pulmonary and joint infections. The diagnosis of Lemierre syndrome was done. Cervicotomy allowed drainage of the abscess. A triple parenteral antibiotic therapy (Ceftriaxone, Metronidazole, Gentamycin) with per-os relay by Amoxicillin + Clavulanic Acid allowed to obtain the cure in one month of treatement without complications. Conclusion: LS is difficult to diagnose due to its non-specific clinical presentation and low incidence. Early clinical and imaging diagnosis guarantees a good outcome by allowing adequate treatment.

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

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Lemierre's Syndrome and Nasopharyngitis in Children: DIAGNOSIS and Treatment

Djibril,

Youssouf,

Maimouna

et al. 2024

IJO

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“…e rarity of cases of Lemierre syndrome during this period would be due to the advent of antibiotics and their early use in ENT infections [10]. Currently, over the past 20 years, the number of reported cases of the Lemierre syndrome has been increasing [11,12]. is may be related to an increase in cases due to antibiotic resistance or overuse of NSAIDs in ENT infections or just a greater trend to publication [4].…”

Section: Discussionmentioning

confidence: 99%

“…Among these new cases of the Lemierre syndrome, some are due to other germs other than Fusobacterium necrophorum and even to aerobic germs with other non-oropharyngeal infectious sites [5,11]. us, not all of these new cases meet the exact definition of the Lemierre syndrome and for some authors, these cases should be reported as the Lemierre-like syndrome [6,13].…”

Section: Discussionmentioning

confidence: 99%

Cervicofacial Cellulitis due to Staphylococcus aureus with Jugular Vein Thrombosis and Multiple Septic Pulmonary Embolism: A Lemierre-Like Syndrome

Niang

Diouf

Diop

et al. 2022

Case Reports in Infectious Diseases

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This is the case of a 28-year-old male patient with no particular pathological history who presented with an inflammatory swelling of the right cheek with pus in an infectious context. Cervicofacial CT with contrast injection allowed the diagnosis of a right cervicofacial cellulitis, associated with a jugular venous thrombosis extending to the superior vena cava. It also revealed septic pulmonary metastases in the form of multiple excavated pulmonary nodules. The analysis of the pus sample allowed the isolation of Staphylococcus aureus as the causative germ. This led to the diagnosis of a Lemierre-like syndrome, which is a variant of the Lemierre syndrome. Despite appropriate antibiotic treatment and anticoagulation, the patient died after 16 days of hospitalization.

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