Document Detail


Orbital dissemination of Lemierre syndrome from gram-positive septic emboli.
MedLine Citation:
PMID:  21566465     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 45-year-old patient presented with bilateral orbital abscesses. He was found to have Lemierre syndrome, a condition involving septic thrombophlebitis of the internal jugular vein. The patient developed severe proptosis, sepsis, and cavernous sinus thrombosis. Despite aggressive antibiotic and anticoagulation therapy, visual loss was rapid, and the patient ultimately died. Lemierre syndrome, previously thought to be rare, is now becoming more commonly reported. Its prompt diagnosis and treatment are essential for patient survival.
Authors:
Jonathan B Kahn; Samuel Baharestani; Heather C Beck; Diana Ng; Christopher I Zoumalan; Floyd A Warren; Richard N Palu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  27     ISSN:  1537-2677     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:    2011 May-Jun
Date Detail:
Created Date:  2011-05-13     Completed Date:  2011-08-10     Revised Date:  2011-12-16    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e67-8     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, New York University School of Medicine, 462 First Avenue, NBV 5N-18, New York, NY 10016, U.S.A. jonathanbkahn@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Abscess / diagnosis,  microbiology*,  therapy
Bacteremia / diagnosis,  microbiology*,  therapy
Cavernous Sinus Thrombosis / diagnosis,  microbiology
Fatal Outcome
Humans
Lemierre Syndrome / diagnosis,  microbiology*,  therapy
Male
Middle Aged
Orbital Cellulitis / diagnosis,  microbiology
Orbital Diseases / diagnosis,  microbiology*,  therapy
Streptococcal Infections / diagnosis,  microbiology*,  therapy
Streptococcus milleri Group / isolation & purification*
Tomography, X-Ray Computed
Comments/Corrections
Comment In:
Ophthal Plast Reconstr Surg. 2011 Nov;27(6):466-7; author reply 468   [PMID:  22072204 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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