Lemierre's syndrome due to community-acquired meticillin-resistant Staphylococcus aureus infection and presenting with orbital cellulitis: A case report

Tamilarasu Kadhiravan, Paramasivan Piramanayagam, Amit Banga, Rajiva Gupta, Surendra K. Sharma

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Introduction: Lemierre's syndrome is septic thrombophlebitis of the internal jugular vein leading to metastatic septic complications following an oropharyngeal infection. It is usually caused by the anaerobe, Fusobacterium necrophorum. Of late, meticillin-resistant Staphylococcus aureus is increasingly being recognised as a cause of community-acquired skin and soft tissue infections. We report a rare case of Lemierre's syndrome caused by community-acquired meticillin-resistant Staphylococcus aureus infection. Case presentation: A previously healthy 16-year-old girl presented with fever of 13 days duration, painful swelling around the right eye and diplopia followed by the appearance of pulmonary infiltrates. Imaging studies confirmed the clinical suspicion of bilateral jugular venous thrombosis with septic pulmonary embolism. Meticillin-resistant Staphylococcus aureus was isolated on blood cultures. The hospital course was complicated by massive haemoptysis and pulmonary aspiration necessitating mechanical ventilation. The patient subsequently made a complete recovery. Conclusion: Lemierre's syndrome, although rare, is apotentially lethal but treatable complication of head and neck sepsis. Early clinical recognition of Lemierre's syndrome and appropriate antibiotic treatment can be life-saving. One should consider the possibility of community-acquired meticillin-resistant Staphylococcus aureus infection in patients with suspected Lemierre's syndrome.

Original languageEnglish (US)
Article number374
JournalJournal of Medical Case Reports
Volume2
DOIs
StatePublished - Dec 8 2008

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Lemierre Syndrome
Orbital Cellulitis
Methicillin
Staphylococcus aureus
Infection
Neck
Fusobacterium necrophorum
Lung
Thrombophlebitis
Soft Tissue Infections
Diplopia
Hemoptysis
Jugular Veins
Pulmonary Embolism
Artificial Respiration
Venous Thrombosis
Sepsis
Fever
Head
Anti-Bacterial Agents

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Lemierre's syndrome due to community-acquired meticillin-resistant Staphylococcus aureus infection and presenting with orbital cellulitis : A case report. / Kadhiravan, Tamilarasu; Piramanayagam, Paramasivan; Banga, Amit; Gupta, Rajiva; Sharma, Surendra K.

In: Journal of Medical Case Reports, Vol. 2, 374, 08.12.2008.

Research output: Contribution to journalArticle

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