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Severe atypical Lemierre syndrome caused by methicillin-sensitive Staphylococcus aureus: Two pediatric case reports.
El Hajj, R; Stanzelova, A; de Marcellus, C; Kossorotoff, M; Remangeon, F; Roux, C-J; Touzé, R; Toubiana, J; Benaboud, S; Oualha, M; Moulin, F; Collignon, C.
Afiliação
  • El Hajj R; Pediatrics, André Mignot Hospital, Versailles, France.
  • Stanzelova A; Department of General Pediatrics and Pediatric Infectious Diseases, Necker-Enfants Malades University Hospital, Paris, France; Université de Paris Cité, Paris, France.
  • de Marcellus C; Pediatric Intensive Care Unit, APHP University Hospital Necker-Enfants Malades, Paris, France.
  • Kossorotoff M; Pediatric Neurology, APHP University Hospital Necker-Enfants Malades, Paris, France.
  • Remangeon F; Université de Paris Cité, Paris, France; Pediatric Otorhinolaryngology Department, APHP, Hôpital Universitaire Necker-Enfants Malades, Paris, France.
  • Roux CJ; Pediatric Radiology, APHP University Hospital Necker-Enfants Malades, Paris, France.
  • Touzé R; Ophthalmology Department and Reference Center for Rare Ophthalmological Diseases (OPHTARA), AP-HP, University Hospital Necker-Enfants Malades, Paris, France; Université de Paris Cité, Paris, France.
  • Toubiana J; Department of General Pediatrics and Pediatric Infectious Diseases, Necker-Enfants Malades University Hospital, Paris, France; Université de Paris Cité, Paris, France.
  • Benaboud S; Pharmacology Department, Cochin Hospital, AP-HP Centre-Université de Paris, Paris, France.
  • Oualha M; Université de Paris Cité, Paris, France; Pediatric Intensive Care Unit, APHP University Hospital Necker-Enfants Malades, Paris, France.
  • Moulin F; Pediatric Intensive Care Unit, APHP University Hospital Necker-Enfants Malades, Paris, France.
  • Collignon C; Pediatric Intensive Care Unit, APHP University Hospital Necker-Enfants Malades, Paris, France. Electronic address: charlotte.collignon@aphp.fr.
Arch Pediatr ; 30(5): 343-346, 2023 Jul.
Article em En | MEDLINE | ID: mdl-36990936
ABSTRACT

BACKGROUND:

Lemierre syndrome is typically associated with ear, nose, and throat (ENT) infections caused by Fusobacterium necrophorum. Since 2002, cases of atypical Lemierre-like syndrome secondary to Staphylococcus aureus have been reported. CASES We report two pediatric cases of atypical Lemierre syndrome with a similar presentation exophthalmia, absence of pharyngitis, metastatic lung infection, and intracranial venous sinus thrombosis. Both patients had a favorable outcome following treatment with antibiotics, anticoagulation, and corticosteroids.

CONCLUSION:

Regular therapeutic monitoring of antibiotic levels helped to optimize antimicrobial treatment in both cases.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções Estafilocócicas / Faringite / Síndrome de Lemierre Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Child / Humans Idioma: En Revista: Arch Pediatr Ano de publicação: 2023 Tipo de documento: Article País de afiliação: França
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções Estafilocócicas / Faringite / Síndrome de Lemierre Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Child / Humans Idioma: En Revista: Arch Pediatr Ano de publicação: 2023 Tipo de documento: Article País de afiliação: França