826 results match your criteria Thrombophlebitis Septic


A Rare Case of Lemierre's Syndrome Caused by Streptococcus Intermedius, Presenting as an Epidural Abscess.

Cureus 2020 Apr 22;12(4):e7787. Epub 2020 Apr 22.

Infectious Disease, State University of New York (SUNY) Upstate Medical University, Syracuse, USA.

Lemierre's syndrome is a rare but life-threatening condition characterized by an oropharyngeal infection typically secondary to Fusobacterium necrophorum resulting in septic thrombophlebitis of the internal jugular vein. Streptococcus intermedius is a particularly rare cause of Lemierre's syndrome with only a few cases reported in the literature. Here we describe a rare case of Lemierre's syndrome, caused by Streptococcus intermedius, likely secondary to an odontogenic infection, found to have a cervical epidural abscess with concomitant large retropharyngeal and prevertebral abscesses on presentation, in whom the clinical course was further complicated by an extensive cerebral venous sinus thrombosis. Read More

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http://dx.doi.org/10.7759/cureus.7787DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243612PMC

Lemierre syndrome - treat with antibiotics, anticoagulants or both?

Authors:
Sam Schulman

J Intern Med 2020 May 18. Epub 2020 May 18.

Department of Medicine, Thrombosis and Atherosclerosis Research Institute, McMaster University, Hamilton, Ontario, Canada.

Lemierre syndrome is septic thrombophlebitis in the internal jugular vein due to oropharyngeal bacterial infection. The most frequent culprit is the gram negative anaerobe Fusobacterium necrophorum. The syndrome has its name from André-Alfred Lemierre (1875-1956), professor in bacteriology in Paris, who in 1936 published a case series of 20 patients with fatal outcome in 18 (90%). Read More

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http://dx.doi.org/10.1111/joim.13100DOI Listing

[Gynecological Lemierre's syndrome: A case report and literature review].

Rev Med Interne 2020 May 1. Epub 2020 May 1.

AP-HP, hôpital Louis-Mourier, service de réanimation médico-chirurgicale, 92700 Colombes, France; Centre hospitalier Sud Francilien, service de réanimation médico-chirurgicale, 91100 Corbeil-Essonnes, France.

Introduction: Lemierre's syndrome is defined as an oropharyngeal infection due to Fusobacterium necrophorum, associated with septic thrombophlebitis of the internal jugular vein. The uncommon pelvic variant of the syndrome is a rare condition, poorly described in literature.

Case Report: We report a case of gynecological Lemierre's syndrome in a 19-year-old woman after a first sexual intercourse, who presented acute respiratory failure, left internal iliac vein thrombosis with pulmonary embolism, in the setting of salpingitis and F. Read More

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http://dx.doi.org/10.1016/j.revmed.2020.02.012DOI Listing

A forensic case of erosive cystitis and septic pulmonary embolism: is there a correlation?

Clin Ter 2020 May-Jun;171(3):e192-e196

Institute of Legal Medicine, University "Magna Graecia" of Catanzaro, Italy.

Septic pulmonary embolism (SPE) is an uncommon disease in which a microorganism- containing thrombus causes an inflammatory reaction and a mechanical obstruction in the vascular system of the lungs. Usually it is associated with tricuspid valve vegetation, septic thrombophlebitis or infected venous catheters. We present a rare and fatal case of massive septic pulmonary thromboembolism occurred in a diabetic woman, who complained in previous days dyspnoea, abdominal pain and nausea. Read More

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http://dx.doi.org/10.7417/CT.2020.2213DOI Listing

Lemierre's syndrome: A forgotten and re-emerging infection.

J Microbiol Immunol Infect 2020 Apr 4. Epub 2020 Apr 4.

Departments of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan; Department of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.

Lemierre's syndrome, also known as post-anginal septicemia or necrobacillosis, is characterized by bacteremia, internal jugular vein thrombophlebitis, and metastatic septic emboli secondary to acute pharyngeal infections. Modern physicians have "forgotten" this disease. The most common causative agent of Lemierre's syndrome is Fusobacterium necrophorum, followed by Fusobacterium nucleatum and anaerobic bacteria such as streptococci, staphylococci, and Klebsiella pneumoniae. Read More

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http://dx.doi.org/10.1016/j.jmii.2020.03.027DOI Listing

Fusobacterium necrophorum Septicemia Leading to Lemierre's Syndrome in an Immunocompetent Individual: A Case Report.

Cureus 2020 Mar 28;12(3):e7443. Epub 2020 Mar 28.

Internal Medicine, Aventura Hospital and Medical Center, Aventura, USA.

Lemierre syndrome is a life-threatening condition associated with infection by obligate anaerobes residing in oropharyngeal mucosa. The most common organism responsible is Fusobacterium necrophorum. We report a case in a 69-year-old gentleman. Read More

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http://dx.doi.org/10.7759/cureus.7443DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105036PMC

The Forgotten Disease: A Case of Lemierre's Syndrome with Distal Extremity Involvement.

Case Rep Infect Dis 2020 16;2020:4346937. Epub 2020 Mar 16.

Lewis-Gale Hospital Montgomery, 3700 South Main St., Blacksburg, VA 24060, USA.

Once coined the "Forgotten Disease," Lemierre's syndrome is a rare condition that results from oropharyngeal infection with the gram-negative, anaerobic . The typical progression of illness involves spread to adjacent structures such as the internal jugular vein with resulting thrombophlebitis. Septic emboli to distant sites are also a common sequela. Read More

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http://dx.doi.org/10.1155/2020/4346937DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102455PMC

A unique case of Lemierre's syndrome status post blunt cervical trauma.

Vascular 2020 Mar 30:1708538120913734. Epub 2020 Mar 30.

Department of Cardiovascular and Thoracic Surgery, Jacobi Medical Center, Bronx, NY, USA.

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http://dx.doi.org/10.1177/1708538120913734DOI Listing

Lemierre syndrome caused by Klebsiella pneumoniae complicated by epidural abscess - Case report.

IDCases 2020 6;19:e00664. Epub 2019 Nov 6.

Department of Infectology and Geographical Medicine, Faculty of Medicine, Comenius University in Bratislava, Limbova 5, 831 01, Slovak Republic.

is an extremely rare case of the Lemierre syndrome, which is characterized as septic thrombophlebitis of the jugular vein as a consequence of oropharyngeal infection. We present a unique case of Lemierre syndrome caused by complicated by epidural abscess. The patient presented with fever, severe nuchal pain and stiffness and mild sore throat and headache. Read More

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http://dx.doi.org/10.1016/j.idcr.2019.e00664DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093747PMC
November 2019

Management and outcomes of pediatric septic thrombophlebitis: a case series.

Pediatr Hematol Oncol 2020 May 6;37(4):344-352. Epub 2020 Mar 6.

Department of Pediatrics, UC San Diego, La Jolla, California, USA.

Septic thrombophlebitis is a potentially life-threatening condition. Pediatric hematologists are often consulted to provide recommendations regarding anticoagulation management. We conducted a ten-year retrospective, single-center study of hospitalized pediatric patients who were treated for septic thrombophlebitis. Read More

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http://dx.doi.org/10.1080/08880018.2020.1733147DOI Listing

Anaerobic Necrotizing Pneumonia: Another Potential Life-threatening Complication of Vaping?

Pediatrics 2020 Apr 4;145(4). Epub 2020 Mar 4.

Department of Pediatrics, Upstate Medical University, State University of New York, Syracuse, New York

An adolescent girl with a history of frequent electronic cigarette use of nicotine was hospitalized with severe necrotizing pneumonia. Blood cultures obtained before the administration of empirical broad-spectrum intravenous antibiotics had positive results for the growth of The pathogen is an uncommon but well-known cause of anaerobic pneumonia with unique features that are collectively referred to as Lemierre syndrome or postanginal sepsis. The syndrome begins as a pharyngeal infection. Read More

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http://dx.doi.org/10.1542/peds.2019-3204DOI Listing

Gram-negative septic thrombosis in critically ill patients: A retrospective case-control study.

Int J Infect Dis 2020 May 29;94:110-115. Epub 2020 Feb 29.

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

Background: Data on septic thrombosis caused by Gram-negative bacilli (GN-ST) in intensive care unit (ICU) patients are currently limited.

Methods: The aim of this retrospective case-control study (matched 1:3) performed over a 15-month period on ICU patients with bacteraemia, associated (cases) or not (controls) with GN-ST, was to assess 30-day mortality and clinical/microbiological features of GN-ST.

Results: During the study period, 16 patients with GN-ST and 48 controls were analyzed. Read More

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http://dx.doi.org/10.1016/j.ijid.2020.02.054DOI Listing

Case of internal jugular vein thrombosis and fever: Lemierre's syndrome or Trousseau's syndrome?

Ci Ji Yi Xue Za Zhi 2020 Jan-Mar;32(1):91-95. Epub 2019 Jun 6.

Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.

Internal jugular vein thrombosis is a rare critical cardiovascular emergency, which has potential catastrophic clinical outcomes by resulting in stroke and pulmonary embolism. Several etiologies have been reported; however, there are limited data on Lemierre's and Trousseau's syndromes, which are both rare conditions with advanced disease progression and poor clinical outcomes. Lemierre's syndrome may present with typical progressively infectious symptoms and signs, including sore throat, neck mass, and fever, whereas Trousseau's syndrome may present with thrombophlebitis and painful edema. Read More

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http://dx.doi.org/10.4103/tcmj.tcmj_34_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015004PMC

Pylephlebitis Associated with Inferior Mesenteric Vein Thrombosis Treated Successfully with Anticoagulation and Antibiotics in a 37-Year-Old Male.

Case Rep Gastrointest Med 2020 13;2020:3918080. Epub 2020 Feb 13.

Internal Medicine, University of South Dakota Sanford School of Medicine, Vermillion, SD 57069, USA.

Pylephlebitis is a condition in which there is septic thrombophlebitis of the portal-mesenteric venous system. It is a rare condition that usually arises as a complication of an intra-abdominal infection or inflammation. Being rare, it may be overlooked as a differential in cases of abdominal pain when the more common causes have been excluded. Read More

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http://dx.doi.org/10.1155/2020/3918080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040378PMC
February 2020

Lemierre's syndrome caused by in an elderly woman.

J Vasc Surg Cases Innov Tech 2020 Mar 4;6(1):31-33. Epub 2020 Feb 4.

Division of Vascular and Endovascular Surgery, Maimonides Medical Center, Brooklyn, NY.

Lemierre's syndrome is characterized by septic thrombophlebitis of the internal jugular vein. It typically presents in healthy adolescents or young adults, usually preceded by an oropharyngeal infection, with the most common offending pathogen being . We present a case of Lemierre's syndrome in an elderly woman without antecedent oropharyngeal infection, caused by . Read More

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http://dx.doi.org/10.1016/j.jvscit.2019.11.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7005475PMC

An Unusual Case of Modified Lemierre's Syndrome Caused by Staphylococcus aureus Cellulitis.

Am J Case Rep 2020 Feb 2;21:e916575. Epub 2020 Feb 2.

Clinical Pharmacology and Therapeutics Department of General Medicine, Hamad General Hospital, Doha, Qatar.

BACKGROUND Lemierre's syndrome is a potential life-threatening disease commonly occurring in young, healthy individuals. It is often preceded by an oropharyngeal infection causing bacteremia. This may rapidly progress into thrombophlebitis of the internal jugular venous system, its branches, and septic embolization and often fulminant organ failure. Read More

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http://dx.doi.org/10.12659/AJCR.916575DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7017838PMC
February 2020

A case of liver abscesses and porto-enteric fistula caused by an ingested toothpick: A review of the distinctive clinical and imaging features.

Radiol Case Rep 2020 Mar 13;15(3):273-276. Epub 2020 Jan 13.

Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.

Though foreign body (FB) ingestions are a relatively common occurrence in the bustling emergency department, particularly among children, the vast majority of FBs either pass uneventfully or can be retrieved endoscopically. Only a small percentage of patients will experience complications such as bowel obstruction, ischemia, or perforation that may progress to abscess, septic thrombophlebitis, peritonitis, or shock. Depending on their composition, small FBs can be very difficult to detect on computed tomography (CT). Read More

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http://dx.doi.org/10.1016/j.radcr.2019.12.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961755PMC

Invasive infections with Fusobacterium necrophorum including Lemierre's syndrome: an 8-year Swedish nationwide retrospective study.

Authors:
D Nygren K Holm

Clin Microbiol Infect 2019 Dec 14. Epub 2019 Dec 14.

Division of Infection Medicine, Department of Clinical Sciences Lund, Medical Faculty, Lund University, Lund, Sweden.

Objectives: We aimed to evaluate the nationwide incidence and a potential increase in invasive infections with Fusobacterium necrophorum. Secondly, we aimed to describe epidemiology, clinical characteristics and outcomes for the different presentations: Lemierre's syndrome (LS), invasive head and neck-infection without LS and invasive non-head and neck-infection.

Methods: A retrospective multicentric population-based study of all invasive infections with F. Read More

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http://dx.doi.org/10.1016/j.cmi.2019.12.002DOI Listing
December 2019

Lemierre Syndrome. A Forgotten Disease. Case Report and Review of Literature.

Int Med Case Rep J 2019 29;12:367-371. Epub 2019 Nov 29.

Department of Radiodiagnosis, College of Medical Sciences, Chitwan, Nepal.

Introduction: Lemierre syndrome is a serious condition that associates oropharyngeal infection and thrombosis of the internal jugular vein (IJV) with subsequent distant septic emboli, most frequently in the lungs.

Case Presentation: A 70-year-old female with retropharyngeal abscess developed features of Lemierre syndrome. The condition was managed with serial aspiration of the abscess and prolonged usage of intravenous antibiotics. Read More

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http://dx.doi.org/10.2147/IMCRJ.S218895DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6890189PMC
November 2019

Lemierre's Syndrome Due to Methicillin-Resistant .

J Investig Med High Impact Case Rep 2019 Jan-Dec;7:2324709619890967

University of Texas Medical Branch, Galveston, TX, USA.

Lemierre's syndrome is an uncommon and potentially fatal complication of oropharyngeal and facial infections. It involves an associated septic thrombophlebitis, bacteremia, and septic emboli. Traditionally, compromise of the internal jugular vein has been described in conjunction with an infection caused by anaerobes, especially, . Read More

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http://dx.doi.org/10.1177/2324709619890967DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6893931PMC
December 2019

Lemierre's syndrome: A re-emerging infection.

IDCases 2020 8;19:e00668. Epub 2019 Nov 8.

Division of Infectious Diseases, University of Iowa Hospitals and Clinics, United States.

Lemierre's syndrome (LS) or suppurative thrombophlebitis of the jugular vein most often arises as a complication of head and neck infections. LS was more common before the antimicrobial era but the incidence decreased during the 1960s with increased use of penicillin for bacterial throat infections. However, the incidence is now increasing. Read More

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http://dx.doi.org/10.1016/j.idcr.2019.e00668DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6872865PMC
November 2019

A Lemierre-like syndrome caused by : an emerging disease.

Infect Dis (Lond) 2020 03 21;52(3):143-151. Epub 2019 Nov 21.

Department of Laboratory Medicine, AZ Delta Hospital, Roeselare, Belgium.

Despite its clear definition, Lemierre's syndrome is frequently used to describe any septic thrombophlebitis of the jugular vein. We report a Lemierre-like syndrome caused by without an oropharyngeal infection and present a systematic synthesis of reported cases to date of Lemierre-like syndrome caused by . In addition to our case, 24 cases were found. Read More

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http://dx.doi.org/10.1080/23744235.2019.1691255DOI Listing

Extra-cardiac endovascular infections in the critically ill.

Intensive Care Med 2020 02 19;46(2):173-181. Epub 2019 Nov 19.

Department of Intensive Care Services, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.

Vascular infections are associated with high complication rates and mortality. While there is an extensive body of literature surrounding cardiac infections including endocarditis, this is less so the case for other endovascular infections. The objective of this narrative review is to summarize the epidemiology, clinical features, and selected management of severe vascular infections exclusive of those involving the heart. Read More

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http://dx.doi.org/10.1007/s00134-019-05855-zDOI Listing
February 2020

Bilateral abducens nerve palsy due to septic thrombophlebitis.

Am J Ophthalmol Case Rep 2019 Dec 31;16:100566. Epub 2019 Oct 31.

Ratner Children's Eye Center at the University of California San Diego, 9415 Campus Point Drive, La Jolla, CA, USA.

Purpose: To report a case of septic thrombophlebitis producing bilateral abducens nerve palsy.

Observation: A 65 year-old woman with recent sinus surgery experienced the onset of horizontal diplopia during treatment for bacteremia. Computer tomography of head and a neck ultrasonography showed right internal jugular vein occlusion. Read More

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http://dx.doi.org/10.1016/j.ajoc.2019.100566DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849129PMC
December 2019

Atypical presentation of Lemierre's syndrome: case report and literature review.

BMC Infect Dis 2019 Oct 21;19(1):868. Epub 2019 Oct 21.

Service of Infectious Diseases, Department of Medicine, Geneva University Hospitals and the University of Geneva, 4 Rue Gabrielle-Perret-Gentil, 1211, Geneva 14, Switzerland.

Background: The classic Lemierre's syndrome refers to a septic thrombosis of the internal jugular vein, usually caused by a Fusobacterium necrophorum infection starting in the oral cavity, and typically complicated by pulmonary emboli. However, unusual forms of the disorder have been rarely reported.

Case Presentation: We describe an unusual case of a previously healthy 58-year-old male with Lemierre's syndrome, manifesting with lumbar pain and fever. Read More

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http://dx.doi.org/10.1186/s12879-019-4538-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805316PMC
October 2019
2 Reads

Retroperitoneal abscess with pylephlebitis caused by lumbar acupuncture: a case report.

BMC Surg 2019 Oct 16;19(1):145. Epub 2019 Oct 16.

Department of Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 327, Sosa-ro, Bucheon-si, Gyeonggi-do, 14647, South Korea.

Background: Retroperitoneal abscess (RA) is an unusual life-threatening disease that has insidious and occult presentations. Although the incidence of this disease is low, diagnosis and treatment are challenging due to its nonspecific presentation and the complex anatomy of the retroperitoneal space. Recently, we experienced one case of a RA with extensive thrombophlebitis of the portal venous system. Read More

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http://dx.doi.org/10.1186/s12893-019-0613-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6794754PMC
October 2019

Bariatric surgery in the elderly: outcomes analysis of patients over 70 using the ACS-NSQIP database.

Surg Obes Relat Dis 2019 11 23;15(11):1923-1932. Epub 2019 Aug 23.

Montefiore Medical Center, Bronx, New York.

Background: Bariatric surgery offers patients with morbid obesity and related diseases short- and long-term benefits to their health and quality of life. Evidence-based medicine is integral in the evaluation of risk versus benefit; however, data are lacking for several high-risk patient populations, including the elderly.

Objectives: This study assessed morbidity and mortality data for patients age ≥70 undergoing laparoscopic sleeve gastrectomy (SG) or laparoscopic Roux-en-Y gastric bypass (RYGB). Read More

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http://dx.doi.org/10.1016/j.soard.2019.08.011DOI Listing
November 2019
1 Read

Association of Treatment of Chorioamnionitis with Non-Beta Lactam Antibiotics and Postcesarean Infectious Morbidity.

Am J Perinatol 2020 Apr 10;37(5):461-466. Epub 2019 Oct 10.

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Duke University, Durham, North Carolina.

Objective:  Chorioamnionitis (CAM) is associated with postcesarean (CS) infectious morbidity (IM). Beta-lactam antibiotics (BLA) are used to treat CAM. It is uncertain if women who cannot receive BLA attain similar benefit from treatment of CAM with non-BLA. Read More

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http://dx.doi.org/10.1055/s-0039-1697675DOI Listing
April 2020
1 Read

[Lemierre syndrome - a frequently overlooked infectious disease].

Dtsch Med Wochenschr 2019 10 8;144(20):1449-1454. Epub 2019 Oct 8.

Medizinische Klinik I, UKSH-Campus Lübeck, Lübeck, Deutschland.

History And Clinical Findings: We report the case of a 30 years old man presenting with cough and a sore throat. The physical examination showed a painful neck, a scleral icterus, inflammation of the posterior pharyngeal wall and tonsils.

Investigations: Initial laboratory studies revealed an increase in white blood cells, a pronounced reduction of platelets, an elevated CRP and renal failure. Read More

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http://dx.doi.org/10.1055/a-0931-8037DOI Listing
October 2019
1 Read

Management and Prevention of Central Venous Catheter-Related Infections in the ICU.

Semin Respir Crit Care Med 2019 08 4;40(4):508-523. Epub 2019 Oct 4.

IAME UMR1137-Team 5, Decision Sciences in Infectious Diseases Prevention, Control and Care, Paris Diderot University-Inserm, Sorbonne Paris Cité, France.

Central venous catheter-related bloodstream infections (CR-BSI) are a frequent event in the intensive care unit (ICU) setting. In contrast to other nosocomial infections, most risk factors for CR-BSI are linked to the device and can be prevented efficiently. Rates of CR-BSI higher than 1 per 1,000 catheter days are no longer acceptable. Read More

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http://dx.doi.org/10.1055/s-0039-1693705DOI Listing
August 2019
1 Read

Median raphe cyst: A clinically challenging diagnosis.

Clin Pract 2019 Aug 27;9(3):1176. Epub 2019 Sep 27.

Department of Pathology, Penrose-St. Francis Health Services, Colorado Springs, CO, USA.

Median raphe cyst is an uncommon developmental anomaly that can develop anywhere along the midline of the external genitals. Only a few hundred cases have been published in the English literature and the lack of awareness of this entity can lead to confusion and misdiagnosis. We report here a case of median raphe cyst located in the midline of the anterior scrotum of a 35- year-old man. Read More

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http://dx.doi.org/10.4081/cp.2019.1176DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6775486PMC
August 2019
1 Read

Torcular herophili and lateral sinus thrombosis: An atypical presentation of Lemièrre's syndrome.

Intractable Rare Dis Res 2019 Aug;8(3):206-209

Venous thromboembolism Unit, Department of Internal Medicine, University General Hospital Gregorio Marañón, Madrid, Spain.

Lemièrre's syndrome (LS) is an uncommon disease characterized by septic thrombophlebitis of the jugular vein in the context of otorhinolaryngologic infections. These patients are often young and the pharyngotonsillar infection is the most frequent primary focus, but other foci like acute otitis media or otomastoiditis have been described. Although the internal jugular vein is the most commonly affected site, a few case reports have been published with thrombosis of other veins, such as the facial vein or transverse sinus. Read More

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http://dx.doi.org/10.5582/irdr.2019.01071DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6743426PMC
August 2019
4 Reads

Peritonitis and Subsequent Septic Shock following Intrauterine Device Removal.

Case Rep Obstet Gynecol 2019 4;2019:6491617. Epub 2019 Aug 4.

Department of Obstetrics & Gynecology and Women's Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA.

Background: Previous reports have described cases of abscess formation by involving the oral cavity, gastrointestinal tract, and septic thrombophlebitis of the right ovarian vein with subsequent bacteremia and septic shock. Ascending infection from the genital tract to the fallopian tubes resulting in peritonitis from is a rare clinical circumstance where there is minimal information in the literature to guide its diagnosis, management, and expected prognosis.

Case: A 36-year-old G3P0111 developed a tubo-ovarian abscess two weeks after intrauterine device (IUD) removal and then rapidly decompensated with septic shock from peritonitis due to infection. Read More

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http://dx.doi.org/10.1155/2019/6491617DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699377PMC
August 2019
3 Reads

Unusual cause of septic pulmonary emboli: Infected iliac aneurysm with suppurative thrombophlebitis.

Am J Emerg Med 2019 10 2;37(10):1992.e5-1992.e6. Epub 2019 Jul 2.

Department of Emergency Medicine, Hiroshima Citizens Hospital, Japan.

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http://dx.doi.org/10.1016/j.ajem.2019.07.004DOI Listing
October 2019
4 Reads

Lemierre's Syndrome Caused by Streptococcus anginosus Presenting as Postseptal Cellulitis in a Pediatric Patient.

ORL J Otorhinolaryngol Relat Spec 2019;81(4):234-239. Epub 2019 Jul 17.

School of Medicine, Fundación Universitaria de Ciencias de la Salud (FUCS), Hospital de San José, Bogotá, Colombia.

Lemierre's syndrome is an infrequent disease characterized by septic thrombosis of the internal jugular vein followed by pulmonary embolism generally occurring after upper respiratory and gastrointestinal tract infections. We present the case of a 15-year-old female patient with postseptal cellulitis and cervical abscess who developed pulmonary embolism and pleural effusion secondary to internal jugular vein thrombosis. Cultures were positive for Streptococcus anginosus, antibiotic treatment was established with satisfactory clinical outcome. Read More

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http://dx.doi.org/10.1159/000500560DOI Listing
May 2020
15 Reads

A case of Lemierre-like Syndrome: internal jugular vein thrombosis secondary to sternoclavicular joint septic arthritis.

Oxf Med Case Reports 2019 Jul 5;2019(7):omz059. Epub 2019 Jul 5.

Department of General Medicine, Woodlands Health Campus, Yishun Central, Tower E Level, Singapore.

Lemierre syndrome is the internal jugular vein (IJV) suppurative thrombophlebitis, usually secondary to oropharyngeal infection. is an emerging responsible pathogen. We report a unique case of IJV thrombosis secondary to methicillin-susceptible sternoclavicular joint septic arthritis. Read More

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http://dx.doi.org/10.1093/omcr/omz059DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6611499PMC
July 2019
20 Reads

In-Hospital Complications following Arthrotomy versus Arthroscopy for Septic Knee Arthritis: A Cohort-Matched Comparison.

J Knee Surg 2019 Jul 9. Epub 2019 Jul 9.

Department of Orthopaedic Surgery, Rothman Orthopedic Institute, Abington-Jefferson Health, Abington, Pennsylvania.

There is a paucity of literature comparing the relative merits of open arthrotomy versus arthroscopy for the surgical treatment of septic knee arthritis. The primary goal of this study is to compare the risk of perioperative complications between these two surgical techniques. To this end, 560 patients treated for septic arthritis of the native knee with arthroscopy were statistically matched 1:1 with 560 patients treated with open arthrotomy. Read More

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http://dx.doi.org/10.1055/s-0039-1693450DOI Listing
July 2019
5 Reads

Bone and joint infections with Staphylococcus aureus strains producing Panton-Valentine Leukocidin in French Guiana.

Medicine (Baltimore) 2019 Jul;98(27):e16015

Department of Pediatric Medicine and Surgery, Cayenne Hospital, Cayenne Cedex, French Guiana.

The aim of this study was to describe the clinical features of bone and joint infections (BJI) due to Panton-Valentine Leukocidin producing (PVL+) Staphylococcus aureus (SA) in French Guiana.A multicenter study that consists of a retrospective charts review of children admitted for PVL+ S. aureus BJI between January 2010 and December 2015. Read More

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http://dx.doi.org/10.1097/MD.0000000000016015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6635172PMC
July 2019
7 Reads

Chorioamnionitis and Infectious Complications after Vaginal Delivery.

Am J Perinatol 2019 12 25;36(14):1437-1441. Epub 2019 Jun 25.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina.

Objective: To estimate the incidence of and define risk factors for postpartum infectious complications after vaginal birth after cesarean (VBAC) complicated by chorioamnionitis.

Study Design: A secondary analysis of the National Institute of Child Health and Human Development Maternal-Fetal Medicine Unit Cesarean Registry was performed. The primary outcome was a composite of postpartum infection: endometritis, sepsis, pelvic abscess, urinary tract infection, necrotizing fasciitis, and septic pelvic thrombophlebitis. Read More

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http://dx.doi.org/10.1055/s-0039-1692718DOI Listing
December 2019
12 Reads

Methicillin-Resistant Staphylococcus aureus Septic Internal Jugular Thrombophlebitis: Updates in the Etiology and Treatment of Lemierre's Syndrome.

J Emerg Med 2019 Jun;56(6):709-712

Department of Emergency Medicine, University of California, San Diego, California.

Background: Lemierre's syndrome is classically precipitated by oropharyngeal infections that progress to suppurative internal jugular vein thrombophlebitis via direct extension. Metastatic pneumonia from septic emboli is nearly universal and bacterial seeding frequently results in disseminated septic foci. Fusobacterium necrophorum is the most commonly reported etiologic agent, though methicillin-resistant Staphylococcus aureus (MRSA) is an emerging pathogen and a myriad of oropharyngeal flora must be covered until blood cultures return. Read More

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http://dx.doi.org/10.1016/j.jemermed.2019.03.031DOI Listing
June 2019
11 Reads

Septic emboli of the lung due to Fusobacterium necrophorum, a case of Lemierre's syndrome.

Respir Med Case Rep 2019 2;28:100867. Epub 2019 Jun 2.

Department of Pulmonary & Critical Care, Staten Island University Hospital, USA.

Fusobacterium necrophorum plays a causal role in a rare and life-threatening condition, Lemierre's syndrome. It is characterized by infection involving the posterior compartment of the lateral pharyngeal space complicated by septic suppurative thrombophlebitis of the internal jugular vein with F. necrophorum bacteremia and metastatic abscesses, primarily to the lung and pulmonary septic emboli. Read More

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http://dx.doi.org/10.1016/j.rmcr.2019.100867DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6562267PMC
June 2019
11 Reads

Lemierre's Syndrome: An Atypical Presentation.

Ann Vasc Surg 2019 Oct 13;60:479.e1-479.e4. Epub 2019 Jun 13.

Department of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.

Septic thrombophlebitis is a rare diagnosis in this era of widespread antibiotic usage. The clinical diagnosis requires astute clinical suspicion and evaluation. We describe an asplenic 63-year-old woman who presented to the emergency department with a 24-hour history of a tender, swollen, right neck and upper chest wall. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.03.011DOI Listing
October 2019
22 Reads

Lemierre's syndrome: a disguised threat.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Department of Paediatrics, Centro Hospitalar de Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal.

Lemierre's syndrome is a potentially severe disease characterised by suppurative thrombophlebitis of the internal jugular vein and subsequent disseminated septic embolisation. The profile of this syndrome declined in the mid-20th century, coinciding with the introduction of antibiotics. Currently, lack of awareness of this condition delays appropriate treatment and worsens prognosis. Read More

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http://dx.doi.org/10.1136/bcr-2018-228397DOI Listing
April 2019
30 Reads

Portal pyaemia secondary to colonic perforation.

BMJ Case Rep 2019 Apr 15;12(4). Epub 2019 Apr 15.

Department of Hepatopancreaticobiliary Surgery, Cambridge University Hospital, Cambridge, Cambridgeshire, UK.

Portal pyaemia or pylephlebitis is a form of septic (often suppurative) thrombophlebitis of the portal venous system. It may develop as a complication of intra-abdominal sepsis, such as diverticulitis or appendicitis. Patients typically present with a high fever that is sometimes accompanied by jaundice. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22840
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http://dx.doi.org/10.1136/bcr-2018-228400DOI Listing
April 2019
27 Reads

A short course of antibiotic treatment is safe after catheter withdrawal in catheter-related bloodstream infections due to coagulase-negative staphylococci.

Eur J Clin Microbiol Infect Dis 2019 May 28;38(5):977-983. Epub 2019 Mar 28.

Unit of Infectious Diseases, Instituto de Investigación Hospital "12 de Octubre" (imas12), University Hospital "12 de Octubre", Avenida de Córdoba, s/n, 28041, Madrid, Spain.

CoNS is the main cause of catheter-related bloodstream infections (CRBSI). Current guidelines recommend catheter withdrawal followed by antibiotics for at least 5 days. We aimed to assess the efficacy and safety of a shorter course of antibiotherapy in patients with CoNS CRBSI. Read More

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http://dx.doi.org/10.1007/s10096-019-03545-8DOI Listing
May 2019
11 Reads

[Postpartum endometritis: CNGOF and SPILF Pelvic Inflammatory Diseases Guidelines].

Gynecol Obstet Fertil Senol 2019 05 16;47(5):442-450. Epub 2019 Mar 16.

Pôle Femme Mère nouveau-né, University Lille, CHU Lille, 59000 Lille, France; Épidémiologie et qualité des soins, University Lille, EA 2694, 59000 Lille, France.

Postpartum endometritis accounts for 2% of postpartum infections in developed countries. In France, 2.3% of deaths are attributed to puerperal infections. Read More

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http://dx.doi.org/10.1016/j.gofs.2019.03.013DOI Listing
May 2019
12 Reads

Radiographic Musculoskeletal Findings Indicating Opioid Misuse: An Overview for Orthopedic Surgeons.

HSS J 2019 Feb 8;15(1):84-92. Epub 2019 Jan 8.

2UHealth Sports Medicine Institute, University of Miami Miller School of Medicine, Coral Gables, FL USA.

Background: Given the high prevalence of musculoskeletal conditions in the USA, it is important for orthopedic surgeons to promptly identify patients who may be at risk for opioid misuse.

Questions/purposes: The aim of this literature review was to elucidate various musculoskeletal pathologies and complications, as seen on imaging, that may indicate opioid misuse or opioid use disorder.

Methods: A literature search was conducted using the PubMed, Scopus, and Cochrane Library databases for articles related to imaging findings associated with chronic opioid use or misuse in orthopedic patients. Read More

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http://dx.doi.org/10.1007/s11420-018-09654-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384203PMC
February 2019
18 Reads

Dalbavancin as Secondary Therapy for Serious Infections in a Vulnerable Patient Population.

Open Forum Infect Dis 2019 Feb 30;6(2):ofz028. Epub 2019 Jan 30.

Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, School of Medicine, Seattle, Washington.

We retrospectively evaluated off-label use of dalbavancin as secondary therapy in 32 patients with serious infections (endocarditis, osteomyelitis, septic thrombophlebitis, epidural infection) who were also persons who use drugs. The majority of patients (56%) had a clinical response to treatment. Only 1 patient who completed the intended dalbavancin course experienced a treatment failure. Read More

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https://academic.oup.com/ofid/article/doi/10.1093/ofid/ofz02
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http://dx.doi.org/10.1093/ofid/ofz028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388764PMC
February 2019
32 Reads

An Unusual Presentation of Nasopharyngeal Carcinoma as Lemierre Syndrome.

Am J Case Rep 2019 Feb 28;20:263-267. Epub 2019 Feb 28.

Department of Clinical Engineering, Suzuka University of Medical Science, Suzuka, Mie, Japan.

BACKGROUND Clinical presentation of nasopharyngeal carcinoma (NPC) is correlated with the extent of primary and nodal disease. Hence, depending on the anatomical structures affected, the clinical presentation varies accordingly, ranging from non-specific symptoms of epistaxis, unilateral nasal obstruction, and auditory complaints, to cranial nerve palsies. Nodal metastasis in the neck is a frequent clinical finding in nasopharyngeal carcinoma. Read More

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https://www.amjcaserep.com/abstract/index/idArt/913755
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http://dx.doi.org/10.12659/AJCR.913755DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441307PMC
February 2019
32 Reads

Lemierre syndrome: case report.

J Vasc Bras 2018 Oct-Dec;17(4):337-340

Hospital Universitário Evangélico de Curitiba - HUEC, Curitiba, PR, Brasil.

Lemierre syndrome is characterized by septic thrombophlebitis of the internal jugular vein, after an oropharyngeal infection, with septic embolization to the lungs or other organs. This case report describes a 37-year-old female patient who presented with edema and pain in the right hemiface with onset 3 days previously and progressive fatigue and dyspnea since the previous day. She had had tooth 48 extracted 3 days previously. Read More

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http://dx.doi.org/10.1590/1677-5449.002418DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375262PMC
February 2019
27 Reads