| Unusual presentation of Lemierre's syndrome: two cases and a review. | |
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MedLine Citation:
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PMID: 19491663 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Lemierre's syndrome is a potentially fatal disease that usually presents with oropharyngeal infection, followed by sepsis, thrombosis of the internal jugular vein and septic emboli. Most cases are caused by the Gram-negative, anaerobic Fusobacterium necrophorum. We present two patients with an atypical presentation of Lemierre's syndrome and a review. These cases illustrate that a positive blood culture for F. necrophorum, even without the presence of clinical symptoms pointing towards thrombosis of the internal jugular vein, justifies further radiological testing for thrombophlebitis of the internal jugular vein. |
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Authors:
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Matthijs van Wissen; Victor E A Gerdes; Eric C M van Gorp; Dees P M Brandjes; Marcel Soesan |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis Volume: 20 ISSN: 1473-5733 ISO Abbreviation: Blood Coagul. Fibrinolysis Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-08-13 Completed Date: 2009-12-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9102551 Medline TA: Blood Coagul Fibrinolysis Country: England |
Other Details:
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Languages: eng Pagination: 466-9 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Slotervaart Hospital, Amsterdam, The Netherlands. Matthijs.vanWissen@slz.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acenocoumarol
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therapeutic use Anti-Bacterial Agents / therapeutic use Anticoagulants / therapeutic use Bacteremia / complications, microbiology Deglutition Disorders / etiology Diarrhea / etiology Fusobacterium Infections / blood, complications, diagnosis*, drug therapy, microbiology Fusobacterium necrophorum / isolation & purification* Humans Jugular Veins* / ultrasonography Male Middle Aged Nadroparin / therapeutic use Penicillins / therapeutic use Pharyngitis / blood, complications, diagnosis*, microbiology Pneumonia, Bacterial / etiology Syndrome Thrombophlebitis / drug therapy, etiology*, ultrasonography Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 0/Anticoagulants; 0/Nadroparin; 0/Penicillins; 152-72-7/Acenocoumarol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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