Lemierre's syndrome presented with acute pancreatitis

Lemierre's syndrome is a rare clinical condition that is characterized by infected internal jugular vein thrombosis with metastatic septicemia. The most common causative agent is Fusobacterium necrophorum. A previously healthy 37‐year‐old woman presented to our emergency department with nausea, vomiting, and diarrhea. She was admitted to the general practice unit with a diagnosis of acute pancreatitis then was subsequently transferred to the intensive care unit due to shock. Physical examination revealed tenderness on right side of the neck. Blood cultures were remarkable for F. necrophorum. Clinical symptoms led to subsequent ultrasound and computed tomography scan of the neck, confirming internal jugular vein thrombosis.

[1]  V. Tsara,et al.  Lemierre syndrome and the role of modern antibiotics and therapeutic anticoagulation in its treatment. , 2015, The American journal of emergency medicine.

[2]  Krutika Kuppalli,et al.  Lemierre's syndrome due to Fusobacterium necrophorum. , 2012, The Lancet. Infectious diseases.

[3]  C. Karkos,et al.  Lemierre's syndrome: A systematic review , 2009, The Laryngoscope.

[4]  F. Jardin,et al.  Diagnosis of internal jugular vein thrombosis , 1997, Intensive Care Medicine.

[5]  J. Prag,et al.  Lemierre’s syndrome and other disseminated Fusobacterium necrophorum infections in Denmark: a prospective epidemiological and clinical survey , 2008, European Journal of Clinical Microbiology & Infectious Diseases.

[6]  S. Kehl,et al.  Increased diagnosis of Lemierre syndrome and other Fusobacterium necrophorum infections at a Children's Hospital. , 2003, Pediatrics.

[7]  R. Clover,et al.  Lemierre Syndrome: Postanginal Sepsis , 1995, The Journal of the American Board of Family Medicine.

[8]  Hughes Ce,et al.  Septic Pulmonary Emboli Complicating Mastoiditis: Lemierre's Syndrome Revisited , 1994 .

[9]  I. C. Tuna,et al.  Septic pulmonary emboli complicating mastoiditis: Lemierre's syndrome revisited. , 1994, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[10]  F. R. Curtis,et al.  Penicillin in the treatment of uncomplicated gonorrhea. , 1950, Lancet.

[11]  A. Lemierre ON CERTAIN SEPTICÆMIAS DUE TO ANAEROBIC ORGANISMS , 1936 .