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The co-existence of Lemierre's syndrome and Bezold's abscesses due to Streptococcus constellatus: A case report
RATIONALE: The ancient infectious diseases, Lemierre's Syndrome and Bezold's Abscesses are rare. PATIENT CONCERNS: A 70-year-old Japanese woman with a 15-year history of Parkinson's disease was referred to our hospital due to fever, occipital headache and bilateral shoulder pain that...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039683/ https://www.ncbi.nlm.nih.gov/pubmed/29952983 http://dx.doi.org/10.1097/MD.0000000000011228 |
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author | Yaita, Kenichiro Sugi, Suzuna Hayashi, Makiko Koga, Takuma Ebata, Tomohiro Sakai, Yoshiro Kaieda, Shinjiro Ida, Hiroaki Watanabe, Hiroshi |
author_facet | Yaita, Kenichiro Sugi, Suzuna Hayashi, Makiko Koga, Takuma Ebata, Tomohiro Sakai, Yoshiro Kaieda, Shinjiro Ida, Hiroaki Watanabe, Hiroshi |
author_sort | Yaita, Kenichiro |
collection | PubMed |
description | RATIONALE: The ancient infectious diseases, Lemierre's Syndrome and Bezold's Abscesses are rare. PATIENT CONCERNS: A 70-year-old Japanese woman with a 15-year history of Parkinson's disease was referred to our hospital due to fever, occipital headache and bilateral shoulder pain that had continued for three months. She had been prescribed prednisolone due to a diagnosis of polymyalgia rheumatica. DIAGNOSES: A blood culture revealed bacteremia of Streptococcus constellatus. In addition, computed tomography revealed Bezold's abscesses and Lemierre's syndrome. INTERVENTIONS: We administered ceftriaxone for 31 days, followed by oral amoxicillin. OUTCOMES: The patient recovered and the abscesses improved. LESSONS: This case underscores the importance of blood culture tests and cross-referencing with radiological imagings in the diagnoses of these rare critical infectious diseases that mimic polymyalgia rheumatica. |
format | Online Article Text |
id | pubmed-6039683 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-60396832018-07-16 The co-existence of Lemierre's syndrome and Bezold's abscesses due to Streptococcus constellatus: A case report Yaita, Kenichiro Sugi, Suzuna Hayashi, Makiko Koga, Takuma Ebata, Tomohiro Sakai, Yoshiro Kaieda, Shinjiro Ida, Hiroaki Watanabe, Hiroshi Medicine (Baltimore) Research Article RATIONALE: The ancient infectious diseases, Lemierre's Syndrome and Bezold's Abscesses are rare. PATIENT CONCERNS: A 70-year-old Japanese woman with a 15-year history of Parkinson's disease was referred to our hospital due to fever, occipital headache and bilateral shoulder pain that had continued for three months. She had been prescribed prednisolone due to a diagnosis of polymyalgia rheumatica. DIAGNOSES: A blood culture revealed bacteremia of Streptococcus constellatus. In addition, computed tomography revealed Bezold's abscesses and Lemierre's syndrome. INTERVENTIONS: We administered ceftriaxone for 31 days, followed by oral amoxicillin. OUTCOMES: The patient recovered and the abscesses improved. LESSONS: This case underscores the importance of blood culture tests and cross-referencing with radiological imagings in the diagnoses of these rare critical infectious diseases that mimic polymyalgia rheumatica. Wolters Kluwer Health 2018-06-29 /pmc/articles/PMC6039683/ /pubmed/29952983 http://dx.doi.org/10.1097/MD.0000000000011228 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | Research Article Yaita, Kenichiro Sugi, Suzuna Hayashi, Makiko Koga, Takuma Ebata, Tomohiro Sakai, Yoshiro Kaieda, Shinjiro Ida, Hiroaki Watanabe, Hiroshi The co-existence of Lemierre's syndrome and Bezold's abscesses due to Streptococcus constellatus: A case report |
title | The co-existence of Lemierre's syndrome and Bezold's abscesses due to Streptococcus constellatus: A case report |
title_full | The co-existence of Lemierre's syndrome and Bezold's abscesses due to Streptococcus constellatus: A case report |
title_fullStr | The co-existence of Lemierre's syndrome and Bezold's abscesses due to Streptococcus constellatus: A case report |
title_full_unstemmed | The co-existence of Lemierre's syndrome and Bezold's abscesses due to Streptococcus constellatus: A case report |
title_short | The co-existence of Lemierre's syndrome and Bezold's abscesses due to Streptococcus constellatus: A case report |
title_sort | co-existence of lemierre's syndrome and bezold's abscesses due to streptococcus constellatus: a case report |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039683/ https://www.ncbi.nlm.nih.gov/pubmed/29952983 http://dx.doi.org/10.1097/MD.0000000000011228 |
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