770 results match your criteria Thrombophlebitis Septic


AN UNUSUAL CAUSE OF LEMIERRE SYNDROME.

J Stomatol Oral Maxillofac Surg 2019 Feb 14. Epub 2019 Feb 14.

Service de stomatologie et chirurgie maxillo-faciale, CHU de Treichville, BPV3, Abidjan, Côte d'Ivoire.

Lemierre syndrome is a rare, grave and life-threatening disease characterized by a septic thrombophlebitis of the internal jugular vein. Fusobacterium necrophorum is the most causative germ but sometimes others germs can be responsible. The authors report the first published case of Lemierre syndrome caused by a coinfection Levinea sp - Mycobacterium tuberculosis. Read More

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http://dx.doi.org/10.1016/j.jormas.2019.02.009DOI Listing
February 2019

Caval replacement with parietal peritoneum tube graft for septic thrombophlebitis after hepatectomy: A case report.

World J Hepatol 2019 Jan;11(1):133-137

Digestive Surgery, Toulouse University Hospital, Toulouse 31400, France.

Background: Caval vein thrombosis after hepatectomy is rare, although it increases mortality and morbidity. The evolution of this thrombosis into a septic thrombophlebitis responsible for persistent septicaemia after a hepatectomy has not been reported to date in the literature. We here report the management of a 54-year-old woman operated for a peripheral cholangiocarcinoma who developed a suppurated thrombophlebitis of the vena cava following a hepatectomy. Read More

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http://dx.doi.org/10.4254/wjh.v11.i1.133DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354118PMC
January 2019
1 Read

A Frontline Approach With Peripherally Inserted Versus Centrally Inserted Central Venous Catheters for Remission Induction Chemotherapy Phase of Acute Myeloid Leukemia: A Randomized Comparison.

Clin Lymphoma Myeloma Leuk 2018 Dec 20. Epub 2018 Dec 20.

Department of Clinical Medicine and Surgery, Federico II University Medical School, Naples, Italy.

Background: The incidence of peripherally inserted central catheter (PICC)-related adverse events has been uncertain in the setting of acute myeloid leukemia (AML) compared with the incidence of centrally inserted central catheter (CICC) adverse events.

Patients And Methods: We conducted a monocentric, randomized trial of patients with previously untreated AML. Of the 93 patients, 46 had received a PICC and 47 had received a CICC as frontline intravascular device. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S21522650183154
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http://dx.doi.org/10.1016/j.clml.2018.12.008DOI Listing
December 2018
5 Reads

sepsis after tonsillitis/pharyngitis.

BMJ Case Rep 2019 Jan 29;12(1). Epub 2019 Jan 29.

Emergency Department, Cork University Hospital Group, Cork, Ireland.

is a rare infection most notable for causing Lemierre's syndrome. This consists of a primary oropharyngeal infection and septic thrombophlebitis, and one or more metastatic focus. Prior to the widespread use of antibiotics, Lemierre's syndrome commonly followed a rapidly progressing course, with a high mortality. Read More

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http://dx.doi.org/10.1136/bcr-2017-222287DOI Listing
January 2019
1 Read

Fusobacterium necrophorum septic pelvic thrombophlebitis after intrauterine device insertion.

Int J Gynaecol Obstet 2019 Jan 16. Epub 2019 Jan 16.

Department of Infectious Diseases, The University of Tokyo Hospital, Bunkyo-ku, Tokyo, Japan.

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http://doi.wiley.com/10.1002/ijgo.12760
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http://dx.doi.org/10.1002/ijgo.12760DOI Listing
January 2019
3 Reads
1.563 Impact Factor

Sore Throat, Fever, Septic Emboli, and Acute Respiratory Distress Syndrome: A Case of Lemierre Syndrome.

Case Rep Emerg Med 2018 6;2018:7373914. Epub 2018 Dec 6.

M.D., Department of Radiology, Montefiore Medical Center, Bronx, NY, USA.

Lemierre's syndrome is an acute oropharyngeal infection with a secondary septic thrombophlebitis of the internal jugular vein (IVJ) that was first reported in literature in 1936. It involves the progression of disease from a focal suppurative peritonsillar infection to a local septic thrombophlebitis with hematogenous progression to and distant septic emboli. It is a rare and potentially fatal syndrome requiring prompt diagnosis and management. Read More

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https://www.hindawi.com/journals/criem/2018/7373914/
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http://dx.doi.org/10.1155/2018/7373914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304635PMC
December 2018
5 Reads

Secondary amyloidosis associated with heroin use and recurrent infections - A case report.

Authors:
Deepthi Mani

Ann Med Surg (Lond) 2019 Jan 22;37:38-41. Epub 2018 Nov 22.

Multi Care Good Samaritan Hospital, Puyallup, WA, USA.

A 49-year-old lady with history of polysubstance use disorder, recurrent cutaneous abscesses, spinal diskitis and septic thrombophlebitis presented to the emergency room with complaints of intermittent fevers, worsening right hip pain and bilateral lower extremity edema. A month before the presentation, she had left another hospital against medical advice after being diagnosed with Methicillin-resistant bacteremia and right hip septic arthritis. Post discharge, she was off antibiotics, but continued heroin and methamphetamine use. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S20490801183026
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http://dx.doi.org/10.1016/j.amsu.2018.11.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297111PMC
January 2019
2 Reads

A Rare Case of Pylephlebitis as a Complication of Cholecystocolonic Fistula.

Case Rep Surg 2018 4;2018:3931674. Epub 2018 Nov 4.

Department of Surgery, Chugoku Rosai Hospital, 1-5-1 Hirotagaya, Kure, Hiroshima 737-0193, Japan.

Pylephlebitis is defined as a septic thrombophlebitis of the portal vein and its tributaries that is associated with multiple suppurative abdominal infections. We report a case of pylephlebitis associated with a cholecystocolonic fistula (CCF). A 41-year-old man presented with upper abdominal pain and anorexia for 1 month. Read More

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https://www.hindawi.com/journals/cris/2018/3931674/
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http://dx.doi.org/10.1155/2018/3931674DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247711PMC
November 2018
7 Reads

as a Rare Causative Agent for Lemierre's Syndrome.

Case Rep Infect Dis 2018 7;2018:3628395. Epub 2018 Nov 7.

Internal Medicine, Monmouth Medical Center, Long Branch, NJ, USA.

Lemierre's syndrome is a rare disease associated with significant morbidity and mortality. It begins with an oropharyngeal infection, which spreads locally to involve the internal jugular vein causing thrombophlebitis, followed by distant spread and metastatic infections. Affected individuals are commonly young adults. Read More

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http://dx.doi.org/10.1155/2018/3628395DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247719PMC
November 2018
4 Reads

Improved Detection of Culprit Pathogens by Bacterial DNA Sequencing Affects Antibiotic Management Decisions in Severe Pneumonia.

Am J Case Rep 2018 Nov 26;19:1405-1409. Epub 2018 Nov 26.

Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Pittsburgh, School of Medicine, Pittsburgh, PA, USA.

BACKGROUND Severe pneumonia requiring admission to an intensive care unit carries high morbidity and mortality. Evidence-based management includes early administration of empiric antibiotics against plausible bacterial pathogens while awaiting results of microbiologic cultures. However, in over 60% of pneumonia cases, no causative pathogen is identified with conventional diagnostic techniques. Read More

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https://www.amjcaserep.com/abstract/index/idArt/912055
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http://dx.doi.org/10.12659/AJCR.912055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280716PMC
November 2018
8 Reads

Septic superficial thrombophlebitis in Klippel-Trenaunay syndrome.

Acta Chir Belg 2018 Nov 2:1-2. Epub 2018 Nov 2.

a Department of Vascular Surgery , KAT General Hospital , Athens , Greece.

This is a rare case of a young patient with Klippel-Trenaunay syndrome that presented with extensive septic superficial thrombophlebitis of the lower extremity. Treatment included intravenous antibiotics based on cultures, anticoagulant therapy as well as surgical removal of thrombi. Read More

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http://dx.doi.org/10.1080/00015458.2018.1534394DOI Listing
November 2018
4 Reads

Catheter-Related Bacteremia and Septic Thrombosis: The Role of Anticoagulation Therapy and Duration of Intravenous Antibiotic Therapy.

Open Forum Infect Dis 2018 Oct 1;5(10):ofy249. Epub 2018 Oct 1.

Department of Infectious Diseases, Infection Control & Employee Health, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Background: Catheter-related septic thrombosis is suspected in patients with persistent central line-associated bloodstream infection (CLABSI) after 72 hours of appropriate antimicrobial therapy. The clinical diagnosis and management of this entity can be challenging as limited data are available. We retrospectively studied the clinical characteristics of patients with catheter-related septic thrombosis and the outcomes related to different management strategies. Read More

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https://academic.oup.com/ofid/article/doi/10.1093/ofid/ofy24
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http://dx.doi.org/10.1093/ofid/ofy249DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201151PMC
October 2018
11 Reads

Multiple pyomyositis secondary to septic thrombophlebitis.

Med Clin (Barc) 2018 Oct 16. Epub 2018 Oct 16.

Servicio de Medicina Interna, Hospital Clínic, Barcelona, España; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Hospital Clínic, Barcelona, España.

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http://dx.doi.org/10.1016/j.medcli.2018.07.020DOI Listing
October 2018
2 Reads

Purpura fulminans with Lemierre's syndrome caused by Gemella bergeri and Eikenella corrodens: a case report.

BMC Infect Dis 2018 Oct 19;18(1):523. Epub 2018 Oct 19.

Tertiary Emergency Medical Center, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo, 130-8575, Japan.

Background: Gemella bergeri is one of the nine species of the genus Gemella and is relatively difficult to identify. We herein describe the first case of septic shock due to a Gemella bergeri coinfection with Eikenella corrodens.

Case Presentation: A 44-year-old Asian man with a medical history of IgG4-related ophthalmic disease who was prescribed corticosteroids (prednisolone) presented to our hospital with dyspnea. Read More

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http://dx.doi.org/10.1186/s12879-018-3437-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194612PMC
October 2018
2 Reads

an unusual cause of septic thrombophlebitis in an injection drug user.

New Microbes New Infect 2018 Nov 12;26:89-91. Epub 2018 Sep 12.

Department of Infection, St Thomas' Hospital, London, UK.

The clinical spectrum of human disease caused by is poorly described, partly as a result of historical difficulties with microbial identification. With the introduction of powerful new technologies, such as matrix-assisted desorption ionization-time of flight mass spectrometry, into routine microbiology laboratories, new insights into diseases caused by such organisms are being made. Here we report a case of septic thrombophlebitis with bacteraemia caused by this organism, together with a retrospective description of laboratory isolation of this organism over a period of 6 years in a hospital in London, UK. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S20522975183008
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http://dx.doi.org/10.1016/j.nmni.2018.09.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178208PMC
November 2018
8 Reads

Ovarian necrosis due to septic thrombophlebitis: A case report.

Case Rep Womens Health 2018 Oct 8;20:e00078. Epub 2018 Sep 8.

Department of Obstetrics and Gynecology, Puerta del Sur Hospital, Av Carlos V, 70, Móstoles, Madrid, Spain.

The incidence of systemic infection attributed to group A streptococci (GAS) is increasing, mainly in postpartum women. Such infections require multidisciplinary management and prompt treatment, but an atypical presentation can delay diagnosis. We report the case of a 24-year-old woman admitted to the emergency department for evaluation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22149112183008
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http://dx.doi.org/10.1016/j.crwh.2018.e00078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139606PMC
October 2018
21 Reads

Facial vein thrombophlebitis: A case report and literature review.

Int J Pediatr Otorhinolaryngol 2018 Oct 16;113:298-301. Epub 2018 Aug 16.

Department of Otolaryngology Head and Neck Surgery, "Haemek" Medical Center, Afula, Israel. Electronic address:

Septic thrombophlebitis of the facial vein (STFN) commonly presents with facial erythema, tenderness, and swelling above the involved vessel. Due to its rarity, diagnosis and treatment remain a challenge. Lemierre syndrome (LS), which consists of a triad of internal jugular vein thrombophlebitis, septicemia, and distant septic emboli, is a more common entity of which physicians are more familiar. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.08.015DOI Listing
October 2018
18 Reads

Atypical Presentation of Lemierre's Syndrome Causing Septic Shock and Acute Respiratory Distress Syndrome.

Case Rep Infect Dis 2018 2;2018:5469053. Epub 2018 Jul 2.

Department of Medicine, Michigan State University, 804 Service Road, Room B301, East Lansing, MI 48824, USA.

Lemierre's disease is a rare but life-threatening condition characterized by an oropharyngeal infection complicating with thrombophlebitis of the internal jugular vein and disseminated abscesses. We are presenting a case of a young female who initially presented with fevers, chills, sore throat, and swollen neck later developed progressively worsening shortness of breath along with sudden onset pleuritic chest pain. She then developed progressively worsening acute hypoxic respiratory failure requiring intubation and mechanical ventilation. Read More

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http://dx.doi.org/10.1155/2018/5469053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051090PMC
July 2018
3 Reads

Cone beam computed tomography-guided transpterygoidal aspiration of a carotid space abscess in Lemierre's syndrome.

Radiol Case Rep 2018 Jun 30;13(3):618-621. Epub 2018 Mar 30.

Department of Neurology, University of Washington and Seattle Children's Hospital, Seattle, WA, USA.

Lemierre's syndrome results from anaerobic bacterial thrombophlebitis of the cervical venous vasculature, occasionally complicated by deep neck space abscesses, sepsis, septic emboli, vascular occlusions, or mycotic aneurysms. Fastidious organisms, such as , may be slow to respond to intravenous antibiotic therapy, prompting a need for more aggressive source control. Concomitant vascular occlusions and mycotic aneurysms present difficult decisions regarding anticoagulation, and the anatomy involved implies important technical considerations for intervention. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.03.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6054713PMC
June 2018
3 Reads

Specific dynamic of serum procalcitonin in critically ill patients affected by Gram-negative bacilli septic thrombophlebitis.

Crit Care 2018 Jul 23;22(1):178. Epub 2018 Jul 23.

Department of Public Health and Infectious Diseases, University of Rome Sapienza, Viale del Policlinico 155, Rome, Italy.

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http://dx.doi.org/10.1186/s13054-018-2116-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057063PMC
July 2018
1 Read

Correction to: A challenging case of carbapenemase-producing Klebsiella pneumoniae septic thrombophlebitis and right mural endocarditis successfully treated with ceftazidime/avibactam.

Infection 2018 10;46(5):743

Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Rome, Italy.

The given names and family names of all authors were transposed in the original publication. The original article has been corrected. Read More

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http://dx.doi.org/10.1007/s15010-018-1172-yDOI Listing
October 2018
1 Read

Abdominal computed tomography (CT) scan in the evaluation of refractory puerperal fever: impact on management.

J Matern Fetal Neonatal Med 2018 Sep 6:1-6. Epub 2018 Sep 6.

a Department of Obstetrics, Gynecology and Reproductive sciences , Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel-Aviv University , Tel Aviv , Israel.

Introduction: Computed tomography (CT) imaging should be employed judiciously, given its cost, use of intravenous contrast, and ionizing radiation. The aim of this study was to determine the clinical benefit of a CT scan in the evaluation of refractory puerperal fever and to identify the appropriate candidates for its use.

Methods: This was a retrospective cohort study conducted in a single tertiary care center between January 2007 to April 2017. Read More

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http://dx.doi.org/10.1080/14767058.2018.1497603DOI Listing
September 2018
18 Reads

Managing pulmonary embolism secondary to suppurative deep vein thrombophlebitis due to community-acquired in a resource-poor setting.

J Postgrad Med 2018 Jul-Sep;64(3):164-169

Department of Pediatrics, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India.

Deep vein thrombosis and pulmonary thromboembolism are rare and life threatening emergencies in children. We report an 11-year old female who presented with acute complaints of high grade fever, pain in the left thigh and inability to walk and breathlessness since 6 days. On physical examination, there was a diffuse tender swelling of the left thigh, tachypnea, tachycardia with hyperdynamic precordium and bilateral basal crepitations. Read More

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http://dx.doi.org/10.4103/jpgm.JPGM_548_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066628PMC
June 2018
7 Reads

Acute parotitis due to MRSA causing Lemierre's syndrome.

Oxf Med Case Reports 2018 May 31;2018(5):omx056. Epub 2018 May 31.

Liverpool NIHR Pancreas Biomedical Research Unit, Royal Liverpool University Hospital, University of Liverpool, Liverpool L69 3GA, UK.

We report a case of septic thrombophlebitis of the right internal jugular vein linked with right-sided acute parotitis caused by methicillin-resistant (MRSA) in a patient who had recently undergone a pylorus-preserving pancreaticoduodenectomy. Our case is unique because acute parotitis is a less-recognized cause of Lemierre's syndrome, never previously linked with MRSA infection in this context. We review the literature on diagnosis and management of Lemierre's syndrome caused by acute parotitis. Read More

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http://dx.doi.org/10.1093/omcr/omx056DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6007696PMC
May 2018
1 Read

A challenging case of carbapenemase-producing Klebsiella pneumoniae septic thrombophlebitis and right mural endocarditis successfully treated with ceftazidime/avibactam.

Infection 2018 Oct 20;46(5):721-724. Epub 2018 Jun 20.

Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Rome, Italy.

Introduction: The emergence of carbapenemase-producing Klebsiella pneumonia (KPC-Kp) has become a significant problem in terms of public health and clinical outcome in many hospitals in Southern Europe. Treatment options are usually limited and effective treatment of infections caused by these pathogens is a considerable challenge for clinicians. Ceftazidime-avibactam has been recently approved for the treatment of difficult-to-treat infections due to aerobic Gram-negative organisms in patients with limited treatment options. Read More

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http://link.springer.com/10.1007/s15010-018-1166-9
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http://dx.doi.org/10.1007/s15010-018-1166-9DOI Listing
October 2018
17 Reads

Septic Pulmonary Emboli From Peripheral Suppurative Thrombophlebitis: A Case Report and Literature Review.

Vasc Endovascular Surg 2018 Nov 18;52(8):633-635. Epub 2018 Jun 18.

1 Division of Vascular Surgery, Department of Surgery, Stanford Health Care, Stanford, CA, USA.

Background:: We report the case of a 90-year old woman who presented with septic pulmonary emboli due to suppurative thrombophlebitis at an old peripheral intravenous site.

Methods:: After unsuccessful treatment with antibiotics, the patient was taken to the operating room for excision and drainage of the purulent superficial vein.

Results:: We review the literature and discuss the presentation, risk factors, treatment options, and complications of this often-overlooked disease entity. Read More

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http://dx.doi.org/10.1177/1538574418779469DOI Listing
November 2018
11 Reads

Endovascular Thrombectomy of Septic Thrombophlebitis of the Inferior Vena Cava: Case Report and Review of the Literature.

Vasc Endovascular Surg 2018 Nov 14;52(8):641-647. Epub 2018 Jun 14.

1 Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.

We describe the cases of 2 patients who had septic thrombophlebitis and were successfully managed with endovascular thrombectomy. Patient A developed septic thrombophlebitis of the inferior vena cava after several retroperitoneal resections for metastatic renal cell carcinoma. The thrombus was successfully removed via endovascular mechanical balloon thrombectomy. Read More

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http://dx.doi.org/10.1177/1538574418779475DOI Listing
November 2018
10 Reads

Lemierre Syndrome as a Complication of Laryngeal Carcinoma.

Clin Pract Cases Emerg Med 2018 Feb 24;2(1):78-81. Epub 2018 Jan 24.

St. Louis University School of Medicine, St. Louis, Missouri.

Lemierre syndrome is a rare condition characterized by a septic thrombophlebitis of the internal jugular vein with septicemia and metastatic foci of infection. It typically occurs as the result of an infection in the head and neck, most commonly pharyngitis. For reasons that are unclear, the incidence of Lemierre syndrome has been increasing over the past 15 years. Read More

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http://dx.doi.org/10.5811/cpcem.2017.12.36442DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965148PMC
February 2018
2 Reads

Lemierre's syndrome: a case study with a short review of literature.

Acta Clin Belg 2018 May 21:1-5. Epub 2018 May 21.

a Department of Pneumology , AZ Damiaan , Ostend , Belgium.

Objective and Importance Lemierre's syndrome (LS) is a rare condition that typically starts with a bacterial oropharyngeal infection complicated by a thrombophlebitis of the internal jugular vein and septic emboli to the lungs or other organs. The most common organism isolated is Fusobacterium necrophorum, although other causative organisms are isolated in rare cases. Case presentation We discuss a case of LS in a 44-year-old, previously healthy man presenting with an oropharyngeal infection. Read More

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http://dx.doi.org/10.1080/17843286.2018.1474614DOI Listing

Multiple brain abscesses after professional tooth cleaning: Case report and literature review.

Authors:
M Viviano S Cocca

J Stomatol Oral Maxillofac Surg 2018 Nov 7;119(5):432-435. Epub 2018 May 7.

Department of Medicine, Surgery and Neuroscience, University of Siena, General Hospital "Le Scotte", Viale Bracci, 14, 53100 Siena, Italy. Electronic address:

Brain abscess (BA) is an encapsulated infection and can be the consequence of head and cranio-maxillo-facial surgery or trauma, or may be secondary to cavernous thrombophlebitis, but is most frequently due to hematogenous septic dissemination from an adjacent site of infection, such as the paranasal sinuses, middle ear or oral cavity. We report a rare and unfortunate case of multiple BA caused by dental procedures in a young man with undiagnosed patent foramen ovale (PFO). Simple routine dental procedures, such as tooth brushing and professional oral hygiene, can predispose to life-threatening conditions. Read More

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http://dx.doi.org/10.1016/j.jormas.2018.04.016DOI Listing
November 2018
1 Read

Lemierre's syndrome: a rare cause of sepsis presenting with an absence of throat symptoms.

BMJ Case Rep 2018 Apr 28;2018. Epub 2018 Apr 28.

Radiology, NHS Ayrshire and Arran, Crosshouse Hospital, Ayr, UK.

A 16-year-old boy presented to hospital with a 6-day history of diarrhoea, vomiting and abdominal pain. During his admission he was found to be hypotensive, tachycardic and persistently feverish. Blood cultures taken on admission isolated CT scanning of his neck showed a non-occlusive thrombus of the right internal jugular vein and a small right parapharyngeal abscess. Read More

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http://dx.doi.org/10.1136/bcr-2017-224151DOI Listing
April 2018
4 Reads

Multidetector CT of iatrogenic and self-inflicted vascular lesions and infections at the groin.

Insights Imaging 2018 Aug 19;9(4):631-642. Epub 2018 Apr 19.

Department of Radiology, "Magna Grecia" University, Viale Europa, 88100, Catanzaro, Italy.

The number and complexity of endovascular procedures performed via either arterial or venous access are steadily increasing. Albeit associated with higher morbidity compared to the radial approach, the traditional common femoral artery remains the preferred access site in a variety of cardiac, aortic, oncologic and peripheral vascular procedures. Both transarterial and venous cannulation (for electrophysiology, intravenous laser ablation and central catheterisation) at the groin may result in potentially severe vascular access site complications (VASC). Read More

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http://dx.doi.org/10.1007/s13244-018-0613-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108968PMC
August 2018
5 Reads

Postpartum septic pelvic thrombophlebitis after caesarean delivery: a case report.

Case Rep Womens Health 2018 Jan 10;17:5-7. Epub 2018 Mar 10.

Department of Gynecology and Obstetrics - Centro Hospitalar de Setúbal, EPE, Rua Camilo Castelo Branco, 2910-446 Setúbal, Portugal.

Septic pelvic thrombophlebitis is a rare puerperal complication. It is an important differential diagnosis of postpartum fever and abdominal pain and although the condition is well known its diagnosis can be challenging. We report a case of a 41-year-old woman with fever and right abdominal pain three days after an uncomplicated caesarean delivery. Read More

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http://dx.doi.org/10.1016/j.crwh.2018.02.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5869062PMC
January 2018
4 Reads

Lemierres syndrom – en påminnelse om »den glömda sjukdomen« - God kunskap under hela vårdkedjan viktigt för att i tid väcka misstanke.

Lakartidningen 2018 02 2;115. Epub 2018 Feb 2.

VO specialmedicn, infektion, Gävle sjukhus - Gävle, Sweden 1 - Gävle, Sweden.

The purpose of this case report and discussion is to heighten the awareness of Lemierres syndrome (postanginal sepsis).  Affected patients present in various fields of medicine and an increased incidence of "the forgotten disease" may be expected. Fusobacterium necrophorum is the most common pathogen. Read More

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February 2018
13 Reads

septic thrombophlebitis following lower extremity amputation in an immunocompetent host.

BMJ Case Rep 2018 Jan 6;2018. Epub 2018 Jan 6.

Department of Infectious Diseases, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.

A 59-year-old man with a history of peripheral vascular disease status post femoral popliteal bypass presented with critical limb ischaemia of the left leg. An arterial Doppler ultrasound showed an occluded graft requiring an above knee amputation. Five days after surgery, the patient developed fever, leucocytosis, significant stump swelling and pain, and serosanguinous discharge from his wound. Read More

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http://dx.doi.org/10.1136/bcr-2017-221441DOI Listing
January 2018
10 Reads

Lemierre syndrome: a diagnostic dilemma in paediatric patients.

J Surg Case Rep 2017 Dec 21;2017(12):rjx210. Epub 2017 Dec 21.

Department of Imaging, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK.

Lemierre's syndrome is a rare disease of the head and neck, characterized by an initial infection, usually within the oropharynx, which can develop into a septic thrombophlebitis. It can involve the jugular vein, facial veins and respiratory tract. A 7-year-old child attended our institution with a 1-week history of fever and cough. Read More

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http://dx.doi.org/10.1093/jscr/rjx210DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5739045PMC
December 2017
4 Reads

Lemierre's syndrome: a pain in the neck with far-reaching consequences.

BMJ Case Rep 2018 Jan 3;2018. Epub 2018 Jan 3.

Critical Care, Queen's Medical Centre Nottingham, Nottingham, UK.

Lemierre's syndrome is a potentially life-threatening consequence of oropharyngeal and ear infections and often results in critical care admission and even intubation. Due to the multisystem manifestation, multiple teams may initially be involved in the care, some of which may be unfamiliar with the features and usual clinical course. This report describes a case in a 36-year-old woman with the classic features of internal jugular vein thrombosis and septic emboli to the lungs secondary to an oropharyngeal infection. Read More

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http://dx.doi.org/10.1136/bcr-2017-222723DOI Listing
January 2018
9 Reads

[Lemierre's syndrome: Diagnosis, exploration, treatment].

Rev Med Interne 2018 May 18;39(5):339-345. Epub 2017 Dec 18.

Service de pneumologie, centre hospitalier de Troyes, 101, avenue Anatole France, 10000 Troyes, France.

Lemierre's syndrome is a rare and severe sepsis that can rapidly lead to a life-threatening condition in the absence of early management. This syndrome described at the beginning of the 20th century combines oropharyngeal infection complicated with septic thrombosis of the internal jugular vein and septic emboli predominantly pulmonary. Fusobacterium necrophorum, anaerobic germ, Gram negative bacillus is the main germ in this "necrobacillosis". Read More

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http://dx.doi.org/10.1016/j.revmed.2017.11.005DOI Listing
May 2018
8 Reads

[Dysphagia and tonsillitis in a 25-year-old male patient : The nearly forgotten severe complication of a common ailment].

Internist (Berl) 2018 May;59(5):494-496

Klinik für Allgemeine Innere Medizin, Nephrologie und Dialyse, Hypertensiologie, Klinische Immunologie und Osteologie, St. Franziskus-Hospital GmbH, Hohenzollernring 72, 48145, Münster, Deutschland.

We report the case of a patient with a severe dysphagia accompanying progressive tonsillitis. The clinical examination supported the possibility of a severe septic soft tissue infection. The blood cultures revealed a largely anaerobic sepsis with Fusobacterium necrophorum. Read More

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http://link.springer.com/10.1007/s00108-017-0364-3
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http://dx.doi.org/10.1007/s00108-017-0364-3DOI Listing
May 2018
11 Reads

Fusobacterium emphysematous pyomyositis with necrotizing fasciitis of the leg presenting as compartment syndrome: a case report.

J Med Case Rep 2017 Nov 28;11(1):332. Epub 2017 Nov 28.

Department of Surgery, University of Illinois at Chicago, Chicago, 60612, IL, USA.

Background: Fusobacterium necrophorum is a common agent of disease in humans, but the occurrence of primary infections outside the head and neck area is extremely rare. While infection with Fusobacterium necrophorum has a rather benign course above the thorax, the organism is capable of producing very severe disease when located in unusual sites, including various forms of septic thrombophlebitis. No infections of the leg have been documented before; thus, antibiotic coverage for Fusobacterium is currently not recommended in this area. Read More

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http://dx.doi.org/10.1186/s13256-017-1493-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704428PMC
November 2017
22 Reads

Treatment with dalbavancin in a patient with septic thrombophlebitis of the internal jugular vein due to Staphylococcus aureus after insertion of an implantable cardioverter defibrillator.

Enferm Infecc Microbiol Clin 2018 Jun - Jul;36(6):389-390. Epub 2017 Nov 11.

Servicio de Medicina Interna, Hospital Universitario de Guadalajara, Guadalajara, España.

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http://dx.doi.org/10.1016/j.eimc.2017.10.002DOI Listing
February 2019
1 Read

Lemierre's Syndrome - A rare cause of disseminated sepsis requiring multi-organ support.

J Intensive Care Soc 2017 Nov 14;18(4):329-333. Epub 2017 Mar 14.

Department of Anaesthesia, Ninewells Hospital, Dundee, UK.

Lemierre's syndrome is a rare complication of acute pharyngitis characterised by septicaemia with infective thrombophlebitis of the internal jugular vein, most commonly due to . It characteristically affects healthy young adults causing persistent pyrexia and systemic sepsis presenting several days after an initial pharyngitis. Septic emboli seed via the bloodstream to distant sites including the lung, joints, skin, liver, spleen and brain. Read More

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http://dx.doi.org/10.1177/1751143717698978DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661783PMC
November 2017
3 Reads

Complications from Administration of Vasopressors Through Peripheral Venous Catheters: An Observational Study.

J Emerg Med 2018 Jan 27;54(1):47-53. Epub 2017 Oct 27.

Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Background: The placement of a central venous catheter for the administration of vasopressors is still recommended and required by many institutions because of concern about complications associated with peripheral administration of vasopressors.

Objective: Our aim was to determine the incidence of complications from the administration of vasopressors through peripheral venous catheters (PVC) in patients with circulatory shock, and to identify the factors associated with these complications.

Methods: This was a prospective, observational study conducted in the emergency department (ED) of a tertiary care medical center. Read More

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http://dx.doi.org/10.1016/j.jemermed.2017.09.007DOI Listing
January 2018
4 Reads

Follow-up Blood Cultures: A 2.0 Diagnostic Tool in Patients With Gram-Negative Bacteremia and Septic Thrombophlebitis.

Clin Infect Dis 2018 Mar;66(7):1154-1155

Department of Public Health and Infectious Diseases, Policlinico "Umberto I," "Sapienza" University of Rome, Italy.

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https://academic.oup.com/cid/article/66/7/1154/4584487
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http://dx.doi.org/10.1093/cid/cix949DOI Listing
March 2018
7 Reads

Clinical Mimics: An Emergency Medicine-Focused Review of Cellulitis Mimics.

J Emerg Med 2017 Oct;53(4):475-484

Department of Emergency Medicine, The University of Texas Southwestern Medical Center, Dallas, Texas.

Background: Cellulitis is a common clinical condition with low rates of morbidity and mortality if treated appropriately. Mimics of cellulitis presenting with erythema, edema, warmth, and pain can be associated with grave morbidity and mortality if misdiagnosed.

Objective: This review investigates the signs and symptoms of cellulitis, mimics of cellulitis, and an approach to the management of both cellulitis and its mimics. Read More

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http://dx.doi.org/10.1016/j.jemermed.2017.06.002DOI Listing
October 2017
5 Reads

Some neck swellings are serious; a case of Lemierre's Syndrome.

J Community Hosp Intern Med Perspect 2017 Oct 19;7(4):251-254. Epub 2017 Sep 19.

Department of Pulmonary and Critical Care, Abington Jefferson Health, Abington, PA, USA.

Lemierre's syndrome also termed post-anginal septicemia, is a disease characterized by internal jugular septic thrombophlebitis leading to Fusobacterium septicemia with multiple metastatic foci following an oropharyngeal infection. Diagnosis and management is challenging and can result in fatal consequences due to potential multisystem involvement and multiple complications. We describe here a case of Lemierre's syndrome with multifocal pneumonia, acute renal failure and protracted course of illness over forty days with successful recovery. Read More

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http://dx.doi.org/10.1080/20009666.2017.1369375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5637642PMC
October 2017
7 Reads

Septic thrombosis of cavernous sinus extended to the ipsilateral internal jugular vein and transversal sinus with favorable outcome: Clinical and radiological features of a Lemierre syndrome.

Authors:
Arnaud Martel

Orbit 2018 Apr 17;37(2):94-96. Epub 2017 Oct 17.

a Department of Ophthalmology , University Hospital of Nice , Nice , France.

An 86-year-old patient was hospitalized for fever and left acute orbital syndrome (red eye with moderate visual impairment, chemosis, ophthalmoplegia without proptosis, or any fundus involvement). CT scan showed superior ophthalmic vein and cavernous sinus enlargement complicating ipsilateral sphenoidal sinusitis. Magnetic resonance imaging (MRI) demonstrated the left cavernous sinus thrombosis extended to the ipsilateral jugular vein and transversal sinus (Lemierre syndrome). Read More

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http://dx.doi.org/10.1080/01676830.2017.1383458DOI Listing
April 2018
18 Reads

Lesson of the month 1: Spontaneous septic thrombophlebitis presenting with bacteraemia diagnosed by PET-CT scan.

Clin Med (Lond) 2017 Oct;17(5):471-472

Southend University Hospital NHS Foundation Trust, Southend, UK.

Spontaneous septic thrombophlebitis is a rare complication of bacteraemia. Its true incidence is unknown as septic thrombus is not often considered as a source in the typical 'screen' of tests used to find the source of a bacteraemia.Positron emission tomography computerised tomography (PET-CT) is becoming increasingly available to physicians, is highly sensitive and yields specific anatomical information regarding abnormal metabolically active sites in infection, inflammation and neoplasia. Read More

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http://dx.doi.org/10.7861/clinmedicine.17-5-471DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6301922PMC
October 2017
4 Reads

Pylephlebitis and Crohn's disease: A rare case of septic shock.

Int J Surg Case Rep 2017 10;39:106-109. Epub 2017 Aug 10.

Digestive Surgery Unit, Department of Surgery and Translational Medicine, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy. Electronic address:

Introduction: Troncular pylephlebitis, defined as septic thrombophlebitis of the portal vein, is usually secondary to suppurative infection from the regions drained by the portal system. Therefore, pylephlebitis can occur from the portal vein main tributaries. The occurrence of mesenteric pylephlebitis in Crohn's disease is extremely rare. Read More

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http://dx.doi.org/10.1016/j.ijscr.2017.08.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5565764PMC
August 2017
26 Reads