Síndrome de Lemierre y Mycoplasma pneumoniae / Lemierre´s syndrome and mycoplasma pneumoniae

Se ha sugerido que una infección faríngea previa viral o bacteriana puede favorecer el desarrollo del síndrome de Lemierre, una entidad hoy en día poco frecuente. Se describe un caso de síndrome de Lemierre en el que coexiste una infección por Mycoplasma pneumoniae, hecho comunicado en la literatura sólo en otros 2 casos. Se trata de una adolescente de 16 años con tromboflebitis yugular izquierda, bacteriemia por Fusobacterium necrophorum y émbolos sépticos en pulmón, que requirió ventilación mecánica por insuficiencia respiratoria grave. A pesar del tratamiento precoz con penicilina G y clindamicina, persistió la fiebre y parte de la afectación pulmonar hasta la introducción, tras la confirmación serológica de infección por M. pneumoniae, de un antibiótico activo frente a este patógeno. Los clínicos debemos saber reconocer fácilmente esta enfermedad porque su presentación clínica es muy característica, y debemos considerar la posibilidad de coinfección con otros microorganismos, incluido M. pneumoniae

It has been suggested that a previous viral or bacterial pharyngitis may predispose to Lemierre´s syndrome, an uncommon entity nowadays. A case of Lemierre´s syndrome and co-infection with Mycoplasma pneumoniae is described, association published before in only 2 other cases. A 16-year-old girl with trombophlebitis of the left jugular vein, Fusobacterium necrophorum bacteremia and septic emboli in the lung requiring mechanical ventilation due to severe respiratory insufficiency. Despite early treatment with penicillin G and clindamycin, fever and part of pulmonary affectation persisted until that an antibiotic agent active against M. pneumoniae was instaurated, after its serological confirmation. The physicians should be easily recognized this disease because of its characteristic clinical findings, and co-infection with other organisms including M. pneumoniae, should be considered

[Lemierre's syndrome and Mycoplasma pneumoniae]. / Síndrome de Lemierre y Mycoplasma pneumoniae.

It has been suggested that a previous viral or bacterial pharyngitis may predispose to Lemierre's syndrome, an uncommon entity nowadays. A case of Lemierre's syndrome and co-infection with Mycoplasma pneumoniae is described, association published before in only 2 other cases. A 16-year-old girl with trombophlebitis of the left jugular vein, Fusobacterium necrophorum bacteremia and septic emboli in the lung requiring mechanical ventilation due to severe respiratory insufficiency. Despite early treatment with penicillin G and clindamycin, fever and part of pulmonary affectation persisted until that an antibiotic agent active against M. pneumoniae was instaurated, after its serological confirmation. The physicians should be easily recognized this disease because of its characteristic clinical findings, and co-infection with other organisms including M. pneumoniae, should be considered.