A case report of Lemierre%26apos;s Syndrome associated with dental sepsis

作者：Boyd D; Paterson P^*; Dunphy L; Carton A; Hammersley N

来源：Scottish Medical Journal, 2013, 58(1): E24-E27.

DOI：10.1177/0036933012474609

• Lemierre
• dental
• sepsis

Introduction: Lemierre%26apos;s syndrome is a potentially fatal condition characterised by spread of an oropharyngeal infection, resulting in thrombosis of the internal jugular vein. This leads to septicaemia and possible metastatic abscesses. %26lt;br%26gt;Case presentation: We discuss the case of a previously healthy 17-year-old male who developed Lemierre%26apos;s syndrome following dental sepsis. He presented with bilateral submandibular and submental swelling extending into the neck and chest. His management included a tracheostomy; incision and drainage of the abscesses; drainage of a pleural effusion and prolonged anticoagulant therapy. %26lt;br%26gt;Conclusion: The incidence of Lemierre%26apos;s disease appears to be increasing and early diagnosis is essential. A high index of suspicion is needed in cases of oropharyngeal infection followed by fever, tender swelling of the neck and dysphagia especially in young patients.

• 出版日期2013-2