Lemierre's Syndrome: Methicillin-Resistant Staphylococcus aureus (MRSA) Finds a New Home

2009 ◽  
Vol 37 (2) ◽  
pp. 131-134 ◽  
Author(s):  
Thomas P. Bentley ◽  
Daniel F. Brennan
2013 ◽  
Vol 127 (7) ◽  
pp. 721-723 ◽  
Author(s):  
V Kizhner ◽  
G Samara ◽  
R Panesar ◽  
Y P Krespi

AbstractBackground:Community-acquired methicillin-resistant Staphylococcus aureus is a growing health concern. Lemierre's syndrome is a septic jugular thrombophlebitis that primarily affects young adults. This paper aimed to identify a possible sub-group of Lemierre's syndrome cases associated with community-acquired methicillin-resistant Staphylococcus aureus.Method:This paper reports the case of a 16-year-old male who was admitted for increasing fever, tachycardia, tachypnoea and neck pain. The patient was diagnosed with methicillin-resistant Staphylococcus aureus bacteraemia associated with Lemierre's syndrome. A literature review was subsequently conducted.Results:Following intravenous antibiotic treatment and the sterilisation of blood cultures, the patient improved. The literature review indicated a rise in the past 2 years of Lemierre's syndrome associated with methicillin-resistant Staphylococcus aureus among patients less than 18 years of age.Conclusion:Community-acquired methicillin-resistant Staphylococcus aureus bacteraemia can lead to pulmonary sequelae. When it is associated with pharyngitis, nasopharyngitis or parapharyngeal lymphadenitis, the affected patient may be predisposed to Lemierre's syndrome. As bacterial carriage is predominantly nasal, pharyngitis may not be present. Methicillin-resistant Staphylococcus aureus should be included as an offending bacterium where there is suspicion of Lemierre's syndrome. It is unclear whether anticoagulation alters the course of the bacterium, and surgery is probably contraindicated.


2019 ◽  
Vol 7 ◽  
pp. 232470961989096
Author(s):  
Rolando A. Zamora Gonzalez ◽  
Juan C. Sarria ◽  
Nicole A. Christians ◽  
Michelle Baliss

Lemierre’s syndrome is an uncommon and potentially fatal complication of oropharyngeal and facial infections. It involves an associated septic thrombophlebitis, bacteremia, and septic emboli. Traditionally, compromise of the internal jugular vein has been described in conjunction with an infection caused by anaerobes, especially, Fusobacterium necrophorum. In recent years, however, variant forms have been appearing, including other vessel compromise and other etiologic agents. We present the case of Lemierre’s syndrome in a 31-year-old male with facial vein thrombosis, septic emboli to the lungs, and bacteremia caused by methicillin-resistant Staphylococcus aureus. We hope that this case will raise awareness about variant presentations and promote a timely diagnosis and appropriate treatment of this potentially fatal infection.


2011 ◽  
Vol 49 (5) ◽  
pp. 2063-2066 ◽  
Author(s):  
J. M. Chanin ◽  
L. A. Marcos ◽  
B. M. Thompson ◽  
R. D. Yusen ◽  
W. M. Dunne ◽  
...  

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