912 results match your criteria Thrombophlebitis Septic


Septic Thrombophlebitis with Persistent Bacteremia Treated by Thrombolysis.

Turk J Anaesthesiol Reanim 2022 Apr;50(2):145-147

Claude Bernard Lyon University Faculty of Medicine, Lyon, France; Department of Anaesthesiology and Reanimation, Centre Hospitalier Lyon-Sud, Hospice Civil de Lyon, Lyon, France.

Septic thrombophlebitis requires both adapted antimicrobial therapy and control of the source of the infection. The source of the infection is generally controlled through adequate management of anticoagulation. In this study, we present the case of a 50 years old woman, with septic thrombophlebitis of a peripherally inserted central catheters line and with persistent bacteremia and thrombus, where in situ thrombolysis has successfully removed the thrombus. Read More

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An Unusual Etiology of Lemierre-Like Syndrome: Preseptal Cellulitis due to Methicillin-Resistant .

Open Forum Infect Dis 2022 May 18;9(5):ofac143. Epub 2022 Apr 18.

Division of Infectious Disease, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.

Lemierre's syndrome (LS) is a rare and potentially fatal condition that predominantly affects young adults with oropharyngeal infection. is the usual etiology and classically causes internal jugular vein septic thrombophlebitis, frequently complicated by septic emboli to several organs (most classically to the lungs). Lemierre-like syndrome (LLS) describes the same constellation of symptoms and pathophysiology as Lemierre's syndrome; however, spp. Read More

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Use of intravascular hypo- and hyper-attenuation on non-contrast-enhanced computed tomography in diagnosing acute septic thrombophlebitis.

J Radiol Case Rep 2022 Mar 1;16(3):1-14. Epub 2022 Mar 1.

Department of Radiology, National Hospital Organization/Osaka National Hospital, Osaka, Japan.

Septic thrombi, such as those observed in pylephlebitis and Lemierre's syndrome, are characterized by portal vein thrombosis and venous thrombosis with bacterial infection. Although radiographic findings of septic thrombus on contrast-enhanced computed tomography have been well described, no report has described the characteristics of non-contrast-enhanced computed tomography. We describe a case series of septic thrombophlebitis exhibiting intravascular hypo- and hyper-attenuation on non-contrast-enhanced computed tomography. Read More

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Case report of atypical Lemierre's Syndrome associated with infection without internal or external jugular venous thrombophlebitis.

Respir Med Case Rep 2022 18;37:101651. Epub 2022 Apr 18.

Department of Pediatrics, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

is an anaerobe that is commensal to the human oral cavity. It is usually a component of periodontal plaque that is emerging as a pathogen and quickly attracting attention of the medical and research communities. It has been even discovered in bronchoalveolar lavage of some patients with lung cancer. Read More

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Diagnosis of Internal Jugular Vein Septic Thrombophlebitis by Point-of-Care Ultrasound.

Pediatr Emerg Care 2022 Apr 27. Epub 2022 Apr 27.

Pediatric Emergency Medicine, Medical University of South Carolina, Charleston, SC.

Septic thrombophlebitis represents a rare but serious collection of diseases, which carry a high risk of morbidity and mortality requiring prompt and aggressive treatment. Diagnosis centers on identification of thrombus along with clinical and microbiologic data. We present a case where point-of-care ultrasound was used to diagnose septic thrombophlebitis of the internal jugular vein and expedite appropriate therapy. Read More

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Factors Affecting Patients with Concurrent Deep Neck Infection and Lemierre's Syndrome.

Diagnostics (Basel) 2022 Apr 8;12(4). Epub 2022 Apr 8.

School of Medicine, Chang Gung University, Taoyuan 333, Taiwan.

Deep neck infection (DNI) is a severe disease affecting the deep neck spaces, and is associated with an increased risk of airway obstruction. Lemierre's syndrome (LS) refers to septic thrombophlebitis of the internal jugular vein after pharyngeal infection, and is linked with high morbidity and mortality. Both diseases begin with an oropharyngeal infection, and concurrence is possible. Read More

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Lemierre's syndrome with isolated external jugular vein thrombosis caused by .

IDCases 2022 4;28:e01495. Epub 2022 Apr 4.

Advanced Critical Care and Emergency Center, Iwate Medical University Hospital, Japan.

An 85-year-old woman with a history of rheumatoid arthritis fell due to unsteadiness and visited our emergency room due to head injury. The patient had minor head trauma and lip and oral cavity injuries, and she presented with fever. Laboratory tests showed high inflammatory marker levels. Read More

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Lemierre's syndrome in a child.

Pak J Med Sci 2022 Jan;38(2):433-435

Dr. Saba Shahid MBBS, FCPS, MHPE. Head of Department, Department of Pediatrics, Indus Hospital & Health Network, Karachi, Pakistan.

Lemierre's Syndrome (LS) is a rare syndrome most frequently due to an anaerobic organism, Fusobacterium Necrophorum. It is commonly a complication of an acute oropharyngeal infection, but there are exceptions to its presentations. In our case the cause of LS was otitis media caused by Streptococcus species. Read More

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January 2022

Lemierre's syndrome complicated by cerebral venous sinus thrombosis: A life threatening and rare disease successfully treated with empiric antimicrobial therapy and conservative approach.

Intractable Rare Dis Res 2022 Feb;11(1):37-39

Operative Unit of Otorhinolaryngology, "Dimiccoli" General Hospital, Barletta, Italy.

Lemierre's syndrome (LS) is a "forgotten" condition characterized by septic thrombophlebitis of the jugular vein that follows an otolaryngological infection. Fusobacterium necrophorum is the aetiological agent responsible for the syndrome in adolescents and young adults whereas in older people even common bacteria are involved. Complications arise from spreading of septic emboli distally, to the brain, lungs, bones and internal organs everywhere in the body. Read More

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February 2022

Complicated Pylephlebitis Secondary to Perforated Appendicitis in an Adolescent.

J Indian Assoc Pediatr Surg 2022 Jan-Feb;27(1):115-117. Epub 2022 Jan 11.

Department of Pediatric Gastroenterology and Hepatology, Indraprastha Apollo Hospital, New Delhi, India.

Septic thrombophlebitis of the portal vein or pylephlebitis is a rare cause of morbidity and mortality in children. The common causes include infective intra-abdominal pathology (acute appendicitis or diverticulitis) or inflammatory conditions (acute pancreatitis and inflammatory bowel disease). Management involves a multidisciplinary team approach for favorable outcome. Read More

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January 2022

An Interesting Case of Klebsiella Pneumoniae Pylephlebitis.

Cureus 2022 Jan 16;14(1):e21297. Epub 2022 Jan 16.

Infectious Disease, Howard University Hospital, Washington DC, USA.

Pylephlebitis is defined as suppurative thrombophlebitis of the portal venous system. It is a rare condition that can be fatal if left untreated. It is usually caused by polymicrobial bacteria, most commonly and genus. Read More

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January 2022

thrombophlebitis: a nosocomial multidrug-resistant disease?

Access Microbiol 2021 17;3(12):000307. Epub 2021 Dec 17.

Sorbonne Université, Assistance Publique-Hôpitaux de Paris, Service des Maladies Infectieuses et Tropicales, Hôpital Pitié-Salpêtrière, 75013-Paris, France.

Introduction: is a non- commensal bacterium with a wide range of pathogenicity. The identification of multidrug-resistant (MDR) is concerning because drug susceptibility testing is not usually performed in microbiology laboratories. There is no consensus yet on the treatment of septic thrombophlebitis in this situation. Read More

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December 2021

Not always as simple as a UTI: An atypical case of Lemierre's syndrome, the forgotten disease.

Clin Med (Lond) 2021 11;21(6):e664-e666

Glan Clwyd Hospital, Bodelwyddan, UK.

A 65-year-old man, who was previously fit and well with no known medical comorbidities, was admitted with symptoms of dysuria, urinary frequency, pyrexia, chills and lethargy. His vitals showed that he was hypotensive, tachycardic and pyrexial. Urine dip was heavily positive for leukocytes and nitrites and had markedly elevated inflammatory markers and mild acute kidney injury. Read More

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November 2021

Orbital cellulitis and cavernous sinus thrombosis with contralateral sinus disease in a COVID-19 positive adolescent patient.

Orbit 2021 Nov 30:1-4. Epub 2021 Nov 30.

Elson S. Floyd College of Medicine, Washington State University, Spokane, Washington, USA.

Patients with COVID-19 have been reported to have elevated coagulation factors, which is a well-documented cause of venous thromboembolism events such as deep vein thrombosis and pulmonary embolism. Other venous thrombotic events, however, such as cavernous sinus thrombosis (CST) have been less commonly observed, specifically in combination with primary orbital cellulitis. Due to its unique anatomic location, the cavernous sinus is susceptible to thrombophlebitis processes including septic thrombosis and thrombosis most commonly from sinusitis. Read More

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November 2021

Septic Pulmonary Embolism Causing Recurrent Pneumothorax in an Intravenous Drug User without Right-Sided Valvular Vegetation in Infective Endocarditis.

Case Rep Crit Care 2021 20;2021:7050775. Epub 2021 Nov 20.

University of Nevada, Las Vegas, Kirk Kerkorian School of Medicine, Department of Critical Care and Pulmonary Medicine, 1701 W. Charleston Blvd., Suite 230, Las Vegas, NV 89012, USA.

The following report illustrates a case of a 36-year-old Caucasian male with intravenous drug use (IVDU) induced septic thrombophlebitis presenting with recurrent unilateral pneumothoraces from septic pulmonary embolism (SPE) without the presence of obvious right-sided valvular vegetation in infective endocarditis (IE), defined as tricuspid or pulmonary valve lesions. Pneumothorax (PTX) has been observed as a rare complication of SPE and is commonly associated with infective right-sided IE, IVDU, and intravascular indwelling catheters. However, this case is novel as it is the very rare documented case of recurrent, unilateral, spontaneous right PTX refractory to multiple chest tube placements in such a setting. Read More

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November 2021

Odontogenic Lemierre's syndrome with septic superior ophthalmic vein and cavernous sinus thrombophlebitis complicated by blindness and ophthalmoplegia.

Orbit 2021 Nov 16:1-7. Epub 2021 Nov 16.

Department of Ophthalmology, The Royal Melbourne Hospital, Parkville, Australia.

Lemierre's syndrome is a triad consisting of oropharyngeal infection, internal jugular vein thrombophlebitis, and systemic embolisation typically involving lung and brain. Orbital involvement in this life-threatening condition is rare but potentially blinding and may be an indicator of intracranial involvement. We describe a case of odontogenic Lemierre's syndrome complicated by extensive orbital and intracranial septic venous thrombosis, with optic and cranial neuropathy resulting in monocular blindness and ophthalmoplegia. Read More

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November 2021

Emergency department point-of-care ultrasound for upper extremity deep venous thrombosis ED POCUS for upper extremity DVT.

Int J Emerg Med 2021 Nov 4;14(1):66. Epub 2021 Nov 4.

Department of Emergency Medicine, Singapore General Hospital, Outram Rd, Singapore, 169608, Singapore.

Background: Upper extremity deep vein thrombosis (UEDVT) is an uncommon disease but has to be carefully considered in patients with isolated unilateral upper limb swelling due to its potential to cause devastating complications and sequelae such as pulmonary embolism and septic thrombophlebitis. Given the extreme rarity of this condition, it is not surprising that point-of-care ultrasonographic evaluation of the upper limb for deep venous thrombosis is hardly ever performed in the emergency department. This case report serves to highlight how point-of-care ultrasonographic evaluation of the upper extremity venous system could be incorporated as a tool in the diagnostic armamentarium of the emergency physician. Read More

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November 2021

An atypical presentation of lemierre syndrome of urogenital source.

IDCases 2021 19;26:e01314. Epub 2021 Oct 19.

Department of Internal Medicine, University Hospitals Cleveland Medical Center, Cleveland, USA.

Lemierre syndrome has classically been described as septic thrombophlebitis of the internal jugular veins resulting from primary oropharyngeal disease caused by However, many cases have been reported of the syndrome originating from other primary sites of infection, resulting in limited utility of the diagnostic criteria and increased difficulty in making the diagnosis. We describe a 22-year-old female who developed the syndrome through a Fusobacterium infection which originated from a Bartholin gland abscess, a phenomenon that has not yet been described in the literature. Understanding and recognizing the variable forms of Lemierre syndrome allows us to better define the condition and provide optimal care to patients. Read More

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October 2021

Infected deep vein thrombophlebitis in people who inject drugs: missed opportunities and potential for alternative antimicrobial approaches.

Infection 2022 Apr 2;50(2):507-511. Epub 2021 Nov 2.

Clinical Infection Research Group, Regional Infectious Diseases Unit, Western General Hospital, Edinburgh, UK.

Infected deep vein thrombophlebitis (i-DVT) in people who inject drugs (PWID) is a clinically challenging but poorly characterised disease. We undertook a retrospective observational study of 70 PWID presenting acutely with i-DVT to improve the clinical and microbiological characterisation of this disease. i-DVT was frequently associated with bacteraemia (59. Read More

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Lemierre's Syndrome: Case Presentation of a Rare and Possibly Life-Threatening Condition.

Medicina (Kaunas) 2021 Oct 14;57(10). Epub 2021 Oct 14.

Department of Infectious Disease, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Lemierre's syndrome is, presently, a very rare condition, but a life-threatening one. The syndrome was first described in 1936 by Andre Lemierre and comprises an oropharyngeal infection (most commonly associated with anaerobic bacteria ), internal jugular vein thrombophlebitis and, possibly, secondary septic metastasis (common sites are lungs or brain). We describe such a rare case diagnosed at our Infectious Diseases Department in September 2019. Read More

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October 2021

Lemierre's Syndrome Due to Malignant Otitis Externa: Imaging Studies Revealed Its Systemic Dissemination.

J Int Adv Otol 2021 Sep;17(5):461-464

Department of Otolaryngology, Head and Neck Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

Lemierre's syndrome is characterized by internal jugular vein thrombosis and systemic septic embolism; it is a fatal complication of upper respiratory tract infections. To date, it has not been demonstrated how the upper respiratory tract inflammation spreads from the primary infection site to internal jugular vein and systemic thrombosis. We report a very rare case of Lemierre's syndrome derived from malignant otitis externa in which the spread of infection and thrombosis process were identified by imaging. Read More

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September 2021

[Constrictive Pericarditis with Multiple Organ Failure after Coronary Artery Bypass Grafting].

Kyobu Geka 2021 Oct;74(11):903-907

Department of Cardiovascular Surgery, Okanami General Hospital, Iga, Japan.

A 67-year-old male patient, who had undergone coronary artery bypass grafting (CABG) 16 years before, developed congestive heart failure 5 years after surgery. Three years later, he developed repeated heart failure, sepsis by methicillin-resistant Staphylococcus aureus (MRSA), renal failure, repeated thrombophlebitis on his right leg and atrial fibrillation. He also suffered from clouding of consciousness and flapping tremor caused by hyperammonemia. Read More

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October 2021

A case of Lemierre's syndrome with double vision as the first symptom.

J Infect Chemother 2022 Feb 29;28(2):286-289. Epub 2021 Sep 29.

Department of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.

Lemierre's syndrome is a serious disease that typically causes oropharyngeal infection with internal jugular vein thrombosis, followed by distant infection focus, such as septic pulmonary embolism. The main causative organisms are anaerobic bacteria in the oral cavity, namely Fusobacterium necrophorum. We encountered an extremely rare case of Lemierre's syndrome, where double vision was found to be the first symptom. Read More

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February 2022

Idiopathic Ovarian Vein Thrombosis: A Rare Cause of Abdominal Pain.

Cureus 2021 Jul 30;13(7):e16756. Epub 2021 Jul 30.

Internal Medicine, Northwestern Medicine McHenry Hospital, Rosalind Franklin University of Medicine and Science, McHenry, USA.

Ovarian vein thrombosis (OVT) is a rare entity. It is usually seen in hypercoagulable states such as pregnancy, peripartum period, active malignancy, recent pelvic surgeries, pelvic infections, and inherited or acquired thrombophilias. Idiopathic OVT is exceedingly rare. Read More

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Lemierre Syndrome: An Uncommon Cause of Septic Embolism.

Rev Soc Bras Med Trop 2021 20;54:e03632021. Epub 2021 Aug 20.

Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.

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November 2021

Severe case of Lemierre syndrome with multiple neurological and ophthalmological sequelae.

BMJ Case Rep 2021 Aug 23;14(8). Epub 2021 Aug 23.

Victorian Infectious Diseases Service, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.

A 56-year-old man was admitted to intensive care with septic shock, multiple facial abscesses and thrombophlebitis of the right internal jugular vein with extensive intracranial extension. A diagnosis of Lemierre syndrome due to was made and treatment initiated with high-dose ceftriaxone and metronidazole, along with surgical debridement. His admission was complicated by raised intraocular pressures and visual loss requiring bilateral canthotomies. Read More

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Lemierre's syndrome by and with involvement of the internal and external jugular vein.

Germs 2021 Jun 2;11(2):314-318. Epub 2021 Jun 2.

MD, MSc, PhD, Fundación Neumológica Colombiana - Universidad de La Sabana, Fundación Cardioinfantil, Calle 163A # 13B - 85, Bogotá D.C, Colombia.

Introduction: Lemierre's syndrome refers to the septic thrombophlebitis of the internal jugular vein, secondary to a pharyngeal infection. Although it mainly affects the internal jugular vein, isolated cases have been described of involvement of the external jugular vein. The main etiological agent is

Case Report: A 27-year-old male, previously healthy, presented with a 7-day history of sore throat and fever. Read More

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Lemierre Syndrome in a Patient With Splenectomy Secondary to Pyruvate Kinase Deficiency, Complicated by Heparin Resistance.

J Investig Med High Impact Case Rep 2021 Jan-Dec;9:23247096211040635

Kern Medical, Bakersfield, CA, USA.

Lemierre syndrome was first documented in the literature in 1936, and is defined as septic thrombophlebitis of the internal jugular vein. It is typically a result of oropharyngeal infection causing local soft tissue inflammation, which spreads to vasculature, and promotes formation of septic thrombi within the lumen, persistent bacteremia, and septic emboli. We present the case of a 24-year-old incarcerated man, who presented with leukocytosis and a right-sided tender, swollen neck after undergoing left mandibular molar extraction for an infected tooth. Read More

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October 2021

Postpartum septic pelvic thrombophlebitis and ovarian vein thrombosis after caesarean section: a rare case report.

BMC Pregnancy Childbirth 2021 Aug 17;21(1):561. Epub 2021 Aug 17.

Department of Obstetrics and Gynecology, Affiliated Hospital of Nantong University, Nantong, People's Republic of China.

Background: Septic pelvic thrombophlebitis (SPT) is a well-recognized but rare puerperal complication that has two types: ovarian vein thrombophlebitis (OVT) and deep septic pelvic thrombophlebitis (DSPT). The present case report describes the clinical and imaging findings of a female patient diagnosed with right ovarian vein infectious thrombophlebitis after caesarean section (C-section).

Case Presentation: A 35-year-old G3P2 female who presented with a foetal vein Galen malformation at 41 weeks of gestation underwent C-section. Read More

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Ovarian Vein Thrombosis after Pelvic Surgery in Patient with Recent Coronavirus Disease.

J Minim Invasive Gynecol 2021 11 8;28(11):1951-1952. Epub 2021 Aug 8.

Department of Urogynecology, Jersey Shore University Medical Center, Neptune, New Jersey (all authors).

An abundance of literature has demonstrated that coronavirus disease (COVID-19) contributes to a hypercoagulable state that is associated with venous thromboembolic events. Data on postoperative complications after a mild COVID-19 infection are limited. We report a case of ovarian vein thrombosis after pelvic surgery in a patient with a recent mild COVID-19 infection. Read More

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November 2021