| Oropharyngeal infection with metastatic hand infection: an uncommon variant of Lemierre's syndrome. | |
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MedLine Citation:
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PMID: 20527653 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Lemierre's syndrome is caused by acute oropharyngeal infection with septic secondary thrombophlebitis of the internal jugular vein and metastatic infection. Fusobacterium necrophorum is the most commonly implicated aetiological agent. The authors present the case of a healthy young man presenting with a history of general malaise and sore throat who developed septic metastatic complications in the left upper limb. He made a complete recovery after treatment with a combination of parenteral antibiotics and a multidisciplinary approach. Early ultrasound scanning of the neck and blood cultures are advocated to diagnose this potentially fatal condition. Management involves a high degree of clinical suspicion for this often 'forgotten' condition and treatment is further discussed in the article. |
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Authors:
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Muhammad Shakeel; Neil McCluney; Lawrence Li; Jonathan Ray Newton |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: JPMA. The Journal of the Pakistan Medical Association Volume: 60 ISSN: 0030-9982 ISO Abbreviation: J Pak Med Assoc Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-09 Completed Date: 2010-07-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7501162 Medline TA: J Pak Med Assoc Country: Pakistan |
Other Details:
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Languages: eng Pagination: 494-6 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology Head & Neck Surgery, University of Aberdeen, Aberdeen Royal Infirmary, Aberdeen, Scotland, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anti-Bacterial Agents / therapeutic use Diagnosis, Differential Drug Therapy, Combination Fusobacterium Infections / complications*, diagnosis, drug therapy Hand / pathology* Humans Jugular Veins* / ultrasonography Male Pharyngitis / complications*, drug therapy Syndrome Thrombophlebitis / diagnosis, drug therapy, etiology* Tonsillitis / complications*, drug therapy Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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