scholarly journals Lemierre's Syndrome with Septic Shock Caused by Fusobacterium Necrophorum

2007 ◽  
Vol 35 (5) ◽  
pp. 796-801 ◽  
Author(s):  
D. Wang ◽  
A. K. Price ◽  
K. K. Leitch ◽  
M. Salvadori ◽  
R. N. Singh ◽  
...  
Keyword(s):  
Septic Shock ◽  
Blood Culture ◽  
Septic Arthritis ◽  
Fusobacterium Necrophorum ◽  
Abscess Formation ◽  
Ankle Pain ◽  
Lemierre’S Syndrome ◽  
Surgical Interventions ◽  
Obturator Internus ◽  
Lemierre's Syndrome

Fusobacterium necrophorum infections are rare. We report a 15-year-old male who presented with tachycardia, nausea, vomiting, diarrhoea and ankle pain. He rapidly deteriorated requiring ventilation and vasopressors. Imaging of his thorax showed airspace consolidation, pulmonary cavitations and empyema. The ankle required drainage of purulent material. A thrombus in his internaljugular vein (Lemierre's syndrome) and an abscess in his obturator internus were subsequently found. Fusobacterium necrophorum was identified in blood culture on day nine. The patient recovered with antibiotics and surgical interventions for empyema and septic arthritis. Fusobacterium necrophorum should be a suspected pathogen in septic shock complicated by metastatic abscess formation.

scholarly journals A case of septic arthritis of the temporomandibular joint with necrotic peri-articular infection and Lemierre’s syndrome: an unusual presentation

2020 ◽  
Author(s):  
Mats Døving ◽  
Erik Egeland Christensen ◽  
Lars Peder Huse ◽  
Øystein Vengen
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Septic Arthritis ◽  
Temporomandibular Joint ◽  
Pathological Fracture ◽  
Case Reports ◽  
Mandibular Condyle ◽  
Unusual Presentation ◽  
Lemierre’S Syndrome ◽  
Lemierre's Syndrome

Abstract Background Septic arthritis of the temporomandibular joint (TMJ) is rare. It usually causes isolated, locoregional symptoms related to the infected intra-articular space but may also cause fever and malaise. Case report We present a case of a 72-year-old male with septic arthritis of the TMJ complicated by extensive peri-articular necrosis, septic shock, cerebral abscess, Lemierre’s syndrome, and a pathological fracture of the mandibular condyle. Conclusion Case reports describing such a severe course of the disease are few. Moreover, this is the first report of septic arthritis of the TMJ to cause Lemierre’s syndrome.

scholarly journals Lemierre’s syndrome; a rare cause of septic arthritis

2017 ◽  
pp. bcr-2017-220110 ◽  
Author(s):  
James B Olivier ◽  
Khalid Al-Hourani ◽  
Benjamin Bolland
Keyword(s):  
Septic Arthritis ◽  
Lemierre’S Syndrome ◽  
Lemierre's Syndrome

Lemierre’s syndrome as a consequence of acute supraglottitis

2002 ◽  
Vol 116 (3) ◽  
pp. 216-218 ◽  
Author(s):  
Andrew Hope ◽  
Nigel Bleach ◽  
Sabour Ghiacy
Keyword(s):  
Computed Tomography ◽  
Jugular Vein ◽  
Fusobacterium Necrophorum ◽  
Lemierre’S Syndrome ◽  
Jugular Vein Thrombosis ◽  
Vein Thrombosis ◽  
Intravenous Antibiotics ◽  
Intracranial Thrombosis ◽  
Internal Jugular Vein Thrombosis ◽  
Lemierre's Syndrome

Lemierre’s syndrome comprises internal jugular vein thrombosis following oropharyngeal sepsis and is a rare and serious condition. It is most commonly caused by the anaerobe Fusobacterium necrophorum and typically presents as metastatic sepsis to the lungs and joints. Thrombosis is demonstrated by computed tomography (CT) of the neck, and it is routinely treated with intravenous antibiotics and anti-coagulation.We describe a case of Lemierre’s syndrome following acute supraglottitis. The clinical features were of retrograde intracranial thrombosis, rather than the more usual metastatic sepsis.

scholarly journals The Forgotten Disease: A Case of Lemierre’s Syndrome with Distal Extremity Involvement

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
John Gaskill ◽  
Michael Aronson
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Rare Condition ◽  
Fusobacterium Necrophorum ◽  
Lemierre’S Syndrome ◽  
Intravenous Antibiotics ◽  
Adjacent Structures ◽  
Oropharyngeal Infection ◽  
Fluid Collections ◽  
Lemierre's Syndrome

Once coined the “Forgotten Disease,” Lemierre’s syndrome is a rare condition that results from oropharyngeal infection with the gram-negative, anaerobic Fusobacterium necrophorum. The typical progression of illness involves spread to adjacent structures such as the internal jugular vein with resulting thrombophlebitis. Septic emboli to distant sites are also a common sequela. Here, we present a case of Lemierre’s syndrome in a 20-year-old, otherwise healthy, male. The patient presented with fever, sore throat, and dysphagia. Imaging revealed peritonsillar multiloculated fluid collections and necrotizing pneumonia with multiple pulmonary abscesses. The patient’s hospital course was complicated by the development of necrotizing fasciitis in his right lower leg, which required incision and drainage with surgical washout. In addition to systemic intravenous antibiotics and anticoagulation, he underwent multiple thoracentesis procedures. The patient was ultimately transferred to a tertiary care center due to persistent fevers and lung abscesses. This case highlights the challenges of initial diagnosis, as well as the treatment choices faced by the attending physicians.

scholarly journals Human Infection withFusobacterium necrophorumwithout Jugular Venous Thrombosis: A Varied Presentation of Lemierre’s Syndrome

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Muhammad Asim Rana ◽  
Yashwant Kumar ◽  
Abdullah Ali Lashari ◽  
Ahmed F. Mady
Keyword(s):  
Nerve Palsy ◽  
Jugular Vein ◽  
Kidney Injury ◽  
Severe Pneumonia ◽  
Fusobacterium Necrophorum ◽  
Human Infection ◽  
Upper Respiratory Tract ◽  
Lemierre’S Syndrome ◽  
Upper Respiratory ◽  
Lemierre's Syndrome

Lemierre’s syndrome is also known as postangina septicemia, which is commonly caused byFusobacterium necrophorumalso known as Necrobacillus and also by other microorganisms likeStaphylococcus,Streptococcus,Peptostreptococcus, andBacteroides. Though the disease starts as an upper respiratory tract infection, it may spread and cause thrombophlebitis of the internal jugular vein. It may present itself through cranial nerve palsy or sepsis involving distant organs like the lungs or bones. It is also known as forgotten disease because of its rarity.Fusobacterium necrophorumusually causes infection in animals and rarely affects humans. We hereby present a case of Necrobacillus infection which did not cause any thrombophlebitis but resulted in severe pneumonia and acute kidney injury, leading to respiratory failure and requiring mechanical ventilation.

scholarly journals Activation of the Contact System at the Surface of Fusobacterium necrophorum Represents a Possible Virulence Mechanism in Lemièrre's Syndrome

2011 ◽  
Vol 79 (8) ◽  
pp. 3284-3290 ◽  
Author(s):  
Karin Holm ◽  
Inga-Maria Frick ◽  
Lars Björck ◽  
Magnus Rasmussen
Keyword(s):  
Specific Interaction ◽  
Fusobacterium Necrophorum ◽  
Pulmonary Involvement ◽  
Surface Proteins ◽  
Contact System ◽  
Central Component ◽  
Contact Activation ◽  
Lemierre’S Syndrome ◽  
Content Type ◽  
Lemierre's Syndrome

ABSTRACTFusobacterium necrophorumcauses Lemièrre's syndrome, a serious disease with septic thrombophlebitis of the internal jugular vein, pulmonary involvement, and systemic inflammation. The contact system is a link between inflammation and coagulation, and contact activation by the bacteria could therefore contribute to the abnormal coagulation and inflammation seen in patients with Lemièrre's syndrome. In this study,F. necrophorumwas found to bind radiolabeled high-molecular-weight kininogen (HK), a central component of the contact system. Binding was inhibited by the addition of unlabeled HK and domain D5 of HK but not other components of the contact system, indicating a specific interaction mediated through the D5 region. Binding of HK was significantly reduced after pretreatment of the bacteria with trypsin, suggesting that surface proteins are involved in HK binding. Incubation of the bacteria with human plasma resulted in an HK breakdown pattern suggestive of bradykinin release, and bradykinin was also detected in the supernatant. In addition, we show that factor XI (FXI), another component of the contact system, binds toF. necrophorumand that the bound FXI reconstitutes the activated partial thromboplastin time of FXI-deficient plasma. Thrombin activity was detected at the surface of the bacteria following incubation with plasma, indicating that the intrinsic pathway of coagulation is activated at the surface. This activity was completely blocked by inhibitors of the contact system. The combined results show that the contact system is activated at the surface ofF. necrophorum, suggesting a pathogenic role for this system in Lemièrre's syndrome.

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