A Case of Lemierreʼs Syndrome with Septic Pulmonary Embolisms

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  • KOBAYASHI Yoichi
    Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
  • TAKAYANAGI Noboru
    Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
  • SUGITA Yutaka
    Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center

Bibliographic Information

Other Title
  • 敗血症性肺塞栓症を伴ったLemierre 症候群の1 例
  • 症例 敗血症性肺塞栓症を伴ったLemierre症候群の1例
  • ショウレイ ハイケツショウセイ ハイ ソクセンショウ オ トモナッタ Lemierre ショウコウグン ノ 1レイ

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Description

A 41-year-old-man with sore throat and fever visited a nearby clinic. He was given antibiotics, but on disease day 11, the left side of his neck had swollen. Because chest CT on disease day 16 showed bilateral multiple pulmonary nodules, he was admitted to our hospital. He had septic pulmonary embolisms and thrombophlebitis of the left internal jugular vein, and Fusobacterium necrophorum was isolated from the blood and neck pus culture, and we diagnosed him as having Lemierreʼs syndrome. We administered piperacillin/ tazobactam and heparin, and his symptoms improved thereafter. Lemierreʼs syndrome is relatively rare but is increasing in recent years. We report herein this case and compare reported cases in Japan with those from overseas.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 88 (5), 695-699, 2014

    The Japanese Association for Infectious Diseases

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