|
KMID : 1146620170060020073
|
|
Journal of Korean Academy of Advanced General Dentistry
2017 Volume.6 No. 2 p.73 ~ p.77
|
|
|
A Case of Acute Necrotizing Fasciitis Following Internal Jugular Vein Thrombophlebitis: Lemierre’s Syndrome
|
|
Kim Hyun-Jung
Besana Aaron
Lim Ho-Kyung
Jang Hyon-Seok
Park Dong-Suk
Lee Eui-Seok
|
|
|
Abstract
|
|
|
|
Lemierre’s syndrome is caused by preexisting oropharyngeal infection and characterized by internal jugular vein (IJV) thrombophlebitis. Frequently, this syndrome involves metastatic infection in areas such as the peritoneum, muscles, and spleen. The most common etiologic organism is Fusobacterium necrophorum. In this case, a masticatory space abscess that originated from a tooth caused the IJV thrombophlebitis. The patient had preexisting hypertension, diabetes mellitus, hyperlipidemia, and Parkinson’s disease. Blood culture revealed Streptococcus sanguinis, and the patient received antibiotics that were highly sensitive to mentioned bacterium; additionally, an anticoagulant was used. With the widespread use of antibiotics, Lemierre’s syndrome has become uncommon, and related mortality rates have noticeably decreased. This has led the public to forget about the disease, but it can still be potentially fatal without early diagnosis and ppropriate antibiotic treatment.
|
|
|
KEYWORD
|
|
|
Lemierre’s syndrome, Internal jugular vein, Thrombophlebitis
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
|
|
|