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Lemierre's syndrome caused by Klebsiella pneumoniae: A case report

BACKGROUND: Lemierre's syndrome is a disease that causes anaerobic sepsis, internal jugular vein thrombosis, and septic embolism in the lungs and other organs after acute oropharyngeal infection. It was named after André-Alfred Lemierre in 1936. CASE SUMMARY: Here, we have reported a case of Le...

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Autores principales: Hwang, So Yeon, Shin, Seok Joon, Yoon, Hye Eun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477271/
https://www.ncbi.nlm.nih.gov/pubmed/34631480
http://dx.doi.org/10.5527/wjn.v10.i5.101
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author Hwang, So Yeon
Shin, Seok Joon
Yoon, Hye Eun
author_facet Hwang, So Yeon
Shin, Seok Joon
Yoon, Hye Eun
author_sort Hwang, So Yeon
collection PubMed
description BACKGROUND: Lemierre's syndrome is a disease that causes anaerobic sepsis, internal jugular vein thrombosis, and septic embolism in the lungs and other organs after acute oropharyngeal infection. It was named after André-Alfred Lemierre in 1936. CASE SUMMARY: Here, we have reported a case of Lemierre’s syndrome in a 56-year-old female patient who presented with a sore throat. The patient had septic shock, had not voided, and had severe hyperglycemia at the time of her visit. Imaging tests revealed bilateral pneumonia, pleural effusion, pulmonary embolism, and renal vein thrombosis. The patient was admitted to the intensive care unit and placed on mechanical ventilation due to acute respiratory distress syndrome. Continuous renal replacement therapy was administered to treat renal failure with anuria. Klebsiella pneumoniae was cultured from blood and sputum samples. After reviewing various results, the patient was ultimately diagnosed with Lemierre’s syndrome. The patient was treated with appropriate antibiotics and thrombolytic agents. She was discharged from the hospital after recovery. CONCLUSION: Lemierre’s syndrome is associated with a high mortality rate. Therefore, clinicians should be familiar with the signs and symptoms of this disease as well as the preemptive examinations, procedures, and treatments.
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spelling pubmed-84772712021-10-08 Lemierre's syndrome caused by Klebsiella pneumoniae: A case report Hwang, So Yeon Shin, Seok Joon Yoon, Hye Eun World J Nephrol Case Report BACKGROUND: Lemierre's syndrome is a disease that causes anaerobic sepsis, internal jugular vein thrombosis, and septic embolism in the lungs and other organs after acute oropharyngeal infection. It was named after André-Alfred Lemierre in 1936. CASE SUMMARY: Here, we have reported a case of Lemierre’s syndrome in a 56-year-old female patient who presented with a sore throat. The patient had septic shock, had not voided, and had severe hyperglycemia at the time of her visit. Imaging tests revealed bilateral pneumonia, pleural effusion, pulmonary embolism, and renal vein thrombosis. The patient was admitted to the intensive care unit and placed on mechanical ventilation due to acute respiratory distress syndrome. Continuous renal replacement therapy was administered to treat renal failure with anuria. Klebsiella pneumoniae was cultured from blood and sputum samples. After reviewing various results, the patient was ultimately diagnosed with Lemierre’s syndrome. The patient was treated with appropriate antibiotics and thrombolytic agents. She was discharged from the hospital after recovery. CONCLUSION: Lemierre’s syndrome is associated with a high mortality rate. Therefore, clinicians should be familiar with the signs and symptoms of this disease as well as the preemptive examinations, procedures, and treatments. Baishideng Publishing Group Inc 2021-09-25 2021-09-25 /pmc/articles/PMC8477271/ /pubmed/34631480 http://dx.doi.org/10.5527/wjn.v10.i5.101 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Case Report
Hwang, So Yeon
Shin, Seok Joon
Yoon, Hye Eun
Lemierre's syndrome caused by Klebsiella pneumoniae: A case report
title Lemierre's syndrome caused by Klebsiella pneumoniae: A case report
title_full Lemierre's syndrome caused by Klebsiella pneumoniae: A case report
title_fullStr Lemierre's syndrome caused by Klebsiella pneumoniae: A case report
title_full_unstemmed Lemierre's syndrome caused by Klebsiella pneumoniae: A case report
title_short Lemierre's syndrome caused by Klebsiella pneumoniae: A case report
title_sort lemierre's syndrome caused by klebsiella pneumoniae: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477271/
https://www.ncbi.nlm.nih.gov/pubmed/34631480
http://dx.doi.org/10.5527/wjn.v10.i5.101
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