Lemierre's Syndrome Caused by <i>Streptococcus milleri</i> Group
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- Miyazaki Masatoshi
- Internal Medicine, Tachikawa Hospital, Japan
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- Hattori Hidenori
- Internal Medicine, Tachikawa Hospital, Japan
Abstract
<p>A 64-year-old woman was transported to the emergency room with a headache and fever. She presented with a right ocular protrusion, hyperemia, and tenderness in the neck. Contrast-enhanced MRI of the head showed a high DWI signal in the bilateral sphenoid sinuses and contrast defects along the bilateral internal jugular and superior ophthalmic veins. Blood and CSF cultures revealed Streptococcus milleri group. Surgery was performed for Lemierre's syndrome secondary to sphenoid sinusitis. The patient was treated with antibiotics and anticoagulant therapy, but a duodenal ulcer and brain abscess thereafter developed. However, multidisciplinary endoscopic and surgical treatment saved her life. </p>
Journal
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- Internal Medicine
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Internal Medicine 63 (9), 1289-1294, 2024-05-01
The Japanese Society of Internal Medicine