Early diagnosis and treatment of lemierre syndrome in a neutropenic cancer patient

Ko Chiang Hsu, Shih Hung Tsai, Shi J. Chu, Chin Wang Hsu

研究成果: 雜誌貢獻文章同行評審

摘要

Lemierre syndrome (LS) is a rare but potentially life-threatening disease. It originates from an oropharyngeal infection of the internal jugular vein (IJV) leading to thrombophlebitis and metastatic infection. We report a 42-year-old woman with gastric adenocarcinoma presenting with febrile neutropenia, sore throat, and a tender induration in the left neck. Early LS was diagnosed by finding thrombophlebitis of the IJV following oropharyngeal infection but without bacteremia. Antibiotic treatment led to freedom from metastatic infection. Physicians should suspect LS after identifying the "red-flag" signs, i.e., tender induration of the unilateral neck following an oropharyngeal infection. A prompt diagnosis can be made by finding thrombophlebitis of the IJV. Early antibiotic therapy may lead to favorable clinical outcomes.

原文英語
頁(從 - 到)179-182
頁數4
期刊Journal of Medical Sciences (Taiwan)
28
發行號4
出版狀態已發佈 - 八月 2008
對外發佈

ASJC Scopus subject areas

  • 醫藥 (全部)

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