학술논문

A patient with Lemierre syndrome.
Document Type
Journal Article
Source
European Journal of Pediatrics. Apr2010, Vol. 169 Issue 4, p491-493. 3p. 2 Color Photographs.
Subject
*SYNDROMES
*VENOUS thrombosis
*NECK diseases
*SEPSIS
*ABSCESSES
*CLINDAMYCIN
*PHARYNGITIS diagnosis
*VANCOMYCIN
*ANTIBIOTICS
*JUGULAR vein
*PHARYNGITIS
*DISEASE complications
*THERAPEUTICS
Language
ISSN
0340-6199
Abstract
Lemierre syndrome, also known as postanginal sepsis, is a severe complication of an acute oropharyngeal infection that results in septic thrombophlebitis of the ipsilateral internal jugular vein with subsequent septicemia, often complicated by metastatic infections (Syed et al., Laryngoscope 117:1605-1610, 2007). We present the case of a previously healthy 12-year-old boy with Lemierre syndrome, caused by streptococci (Abiotrophia defectiva), complicating a subcutaneous neck abscess. The patient had metastatic sequelae, was treated with antibiotics (clindamycin and vancomycin) and low molecular weight heparin, and had an uneventful outcome. [ABSTRACT FROM AUTHOR]