Your browser doesn't support javascript.
loading
A case of Lemierre's syndrome with double vision as the first symptom.
Fukushima, Koki; Takazono, Takahiro; Ashizawa, Nobuyuki; Hara, Shintaro; Kitaoka, Kyoko; Ideguchi, Reiko; Miyazaki, Teiichiro; Hirayama, Tatsuro; Yamamoto, Kazuko; Imamura, Yoshifumi; Miyazaki, Taiga; Izumikawa, Koichi; Mukae, Hiroshi.
Afiliação
  • Fukushima K; Department of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
  • Takazono T; Department of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan; Department of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. Electronic address: takahiro-takazono@nagasaki-u.ac.jp.
  • Ashizawa N; Department of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
  • Hara S; Department of Respiratory Medicine, Nagasaki Aino Memorial Hospital, Nagasaki, Japan.
  • Kitaoka K; Department of Otolaryngology-Head and Neck Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
  • Ideguchi R; Department of Radiology, Nagasaki University Hospital, Nagasaki, Japan.
  • Miyazaki T; Department of Neurology and Strokology, Nagasaki University Hospital, Nagasaki, Japan.
  • Hirayama T; Department of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
  • Yamamoto K; Department of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
  • Imamura Y; Department of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
  • Miyazaki T; Department of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan; Department of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
  • Izumikawa K; Department of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
  • Mukae H; Department of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
J Infect Chemother ; 28(2): 286-289, 2022 Feb.
Article em En | MEDLINE | ID: mdl-34598877
Lemierre's syndrome is a serious disease that typically causes oropharyngeal infection with internal jugular vein thrombosis, followed by distant infection focus, such as septic pulmonary embolism. The main causative organisms are anaerobic bacteria in the oral cavity, namely Fusobacterium necrophorum. We encountered an extremely rare case of Lemierre's syndrome, where double vision was found to be the first symptom. The patient's blood culture results showed the presence of F. nucleatum, which spread from the sphenoid sinus to the skull base because of chronic sinusitis; the patient presented with longus colli abscess, clivus osteomyelitis, venous thrombosis, and hematogenous infection. Antibiotic treatment with sulbactam/ampicillin was continued for 14 weeks, and no recurrence has been observed so far. Lemierre's syndrome can be complicated with atypical symptoms such as double vision if the cranial nerves are involved. It might be important to consider this disease in the differential diagnosis in the presence of cranial nerve symptoms of unknown origin with fever or inflammatory findings.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Trombose Venosa / Síndrome de Lemierre Tipo de estudo: Diagnostic_studies Limite: Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Trombose Venosa / Síndrome de Lemierre Tipo de estudo: Diagnostic_studies Limite: Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article