Case Report
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Year 2022, Volume: 32 Issue: 3, 68 - 70, 28.09.2022

Orhan Asya Semih Karaketir Mustafa Özdemir Atacan Akmeşe

https://doi.org/10.26650/Tr-ENT.2022.1075548

Abstract

References

  • 1. Johannesen KM, Bodtger U. Lemierre’s syndrome: current perspectives on diagnosis and management. Infection and drug resistance. 2016;9:221-7. google scholar
  • 2. Prokop M, Van Everdingen W, van Rees Vellinga T, Quarles van Ufford H, Stöger L, Beenen L, et al. CO-RADS: a categorical CT assessment scheme for patients suspected of having COVID-19— definition and evaluation. Radiology 2020;296(2):E97-104. google scholar
  • 3. Syed MI, Baring D, Addidle M, Murray C, Adams C. Lemierre syndrome: two cases and a review. Laryngoscope 2007;117(9):1605-10. google scholar
  • 4. Armstrong AW, Spooner K, Sanders JW. Lemierre’s syndrome. Curr Infect Dis Rep 2000;2(2):168-73. google scholar
  • 5. Sinave CP, Hardy GJ, Fardy PW. The Lemierre syndrome: suppurative thrombophlebitis of the internal jugular vein secondary to oropharyngeal infection. Medicine 1989;68(2):85-94. google scholar
  • 6. Riordan T. Human infection with Fusobacterium necrophorum (Necrobacillosis), with a focus on Lemierre’s syndrome. Clin Microbiol Rev 2007;20(4):622-59. google scholar
  • 7. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-62. google scholar
  • 8. Liao D, Zhou F, Luo L, Xu M, Wang H, Xia J, et al. Haematological characteristics and risk factors in the classification and prognosis evaluation of COVID-19: a retrospective cohort study. Lancet Haematol 2020;7(9):e671-8. google scholar
  • 9. Connors JM, Levy JH. Thromboinflammation and the hypercoagulability of COVID-19. J Thromb Haemost 2020;18(7):1559-61. google scholar
  • 10. Levi M, Thachil J, Iba T, Levy JH. Coagulation abnormalities and thrombosis in patients with COVID-19. Lancet Haematol 2020;7(6):e438-40. google scholar
  • 11. Moreno S, Altozano JG, Pinilla B, Lopez J, de Quiros B, Ortega A, et al. Lemierre’s disease: postanginal bacteremia and pulmonary involvement caused by Fusobacterium necrophorum. Rev Infect Dis 1989;11(2):319-24. google scholar
  • 12. Chirinos JA, Lichtstein DM, Garcia J, Tamariz LJ. The evolution of Lemierre syndrome: report of 2 cases and review of the literature. Medicine 2002;81(6):458-65. google scholar
  • 13. Karkos PD, Asrani S, Karkos CD, Leong SC, Theochari EG, Alexopoulou TD, et al. Lemierre’s syndrome: a systematic review. Laryngoscope 2009;119(8):1552-9. google scholar
  • 14. Bondy P, Grant T. Lemierre’s syndrome: what are the roles for anticoagulation and long-term antibiotic therapy? Ann Otol Rhinol Laryngol 2008;117(9):679-83. google scholar

An Unusual Presentation of a Patient with Covid-19 Infection—Lemierre’s Syndrome

Year 2022, Volume: 32 Issue: 3, 68 - 70, 28.09.2022

Orhan Asya Semih Karaketir Mustafa Özdemir Atacan Akmeşe

https://doi.org/10.26650/Tr-ENT.2022.1075548

Abstract

Lemierre’s syndrome refers to septic thrombophlebitis of the internal jugular vein that is rarely seen after an oropharyngeal infection. We present the case of a 64-year-old female patient with Covid-19 infection and Lemierre’s syndrome. Contrast-enhanced computed tomography of the neck revealed thrombosis in the left internal jugular vein and non-contrast-enhanced computed tomography of the thorax was consistent with Covid- 19 infection. The patient was immediately hospitalized. Systemic antibiotics, anticoagulation therapy, and favipiravir treatment for Covid-19 infection were started. Unfortunately, the patient died about two weeks after hospitalization. To the best of our knowledge, this is the first case of Lemierre’s syndrome and Covid-19 overlap. Clinical suspicion of Lemierre’s syndrome is important for rapid diagnosis. During this Covid-19 pandemic, we should keep in mind that any patient may have Covid-19 infection. In addition to the patient’s primary disease, with clinical or laboratory suspicion of Covid-19 infection, diagnostic tests for it should also be conducted.

Keywords

Lemierre’s syndrome internal jugular vein thrombosis Covid-19 infection deep neck infection

References

  • 1. Johannesen KM, Bodtger U. Lemierre’s syndrome: current perspectives on diagnosis and management. Infection and drug resistance. 2016;9:221-7. google scholar
  • 2. Prokop M, Van Everdingen W, van Rees Vellinga T, Quarles van Ufford H, Stöger L, Beenen L, et al. CO-RADS: a categorical CT assessment scheme for patients suspected of having COVID-19— definition and evaluation. Radiology 2020;296(2):E97-104. google scholar
  • 3. Syed MI, Baring D, Addidle M, Murray C, Adams C. Lemierre syndrome: two cases and a review. Laryngoscope 2007;117(9):1605-10. google scholar
  • 4. Armstrong AW, Spooner K, Sanders JW. Lemierre’s syndrome. Curr Infect Dis Rep 2000;2(2):168-73. google scholar
  • 5. Sinave CP, Hardy GJ, Fardy PW. The Lemierre syndrome: suppurative thrombophlebitis of the internal jugular vein secondary to oropharyngeal infection. Medicine 1989;68(2):85-94. google scholar
  • 6. Riordan T. Human infection with Fusobacterium necrophorum (Necrobacillosis), with a focus on Lemierre’s syndrome. Clin Microbiol Rev 2007;20(4):622-59. google scholar
  • 7. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-62. google scholar
  • 8. Liao D, Zhou F, Luo L, Xu M, Wang H, Xia J, et al. Haematological characteristics and risk factors in the classification and prognosis evaluation of COVID-19: a retrospective cohort study. Lancet Haematol 2020;7(9):e671-8. google scholar
  • 9. Connors JM, Levy JH. Thromboinflammation and the hypercoagulability of COVID-19. J Thromb Haemost 2020;18(7):1559-61. google scholar
  • 10. Levi M, Thachil J, Iba T, Levy JH. Coagulation abnormalities and thrombosis in patients with COVID-19. Lancet Haematol 2020;7(6):e438-40. google scholar
  • 11. Moreno S, Altozano JG, Pinilla B, Lopez J, de Quiros B, Ortega A, et al. Lemierre’s disease: postanginal bacteremia and pulmonary involvement caused by Fusobacterium necrophorum. Rev Infect Dis 1989;11(2):319-24. google scholar
  • 12. Chirinos JA, Lichtstein DM, Garcia J, Tamariz LJ. The evolution of Lemierre syndrome: report of 2 cases and review of the literature. Medicine 2002;81(6):458-65. google scholar
  • 13. Karkos PD, Asrani S, Karkos CD, Leong SC, Theochari EG, Alexopoulou TD, et al. Lemierre’s syndrome: a systematic review. Laryngoscope 2009;119(8):1552-9. google scholar
  • 14. Bondy P, Grant T. Lemierre’s syndrome: what are the roles for anticoagulation and long-term antibiotic therapy? Ann Otol Rhinol Laryngol 2008;117(9):679-83. google scholar
There are 14 citations in total.

Details

Primary Language English
Subjects Otorhinolaryngology
Journal Section Case Report
Authors

Orhan Asya 0000-0003-0366-3099

Semih Karaketir 0000-0002-6645-7105

Mustafa Özdemir This is me 0000-0002-2680-335X

Atacan Akmeşe This is me 0000-0002-6308-0197

Publication Date September 28, 2022
Submission Date February 21, 2022
Published in Issue Year 2022 Volume: 32 Issue: 3

Cite

APA Asya, O., Karaketir, S., Özdemir, M., Akmeşe, A. (2022). An Unusual Presentation of a Patient with Covid-19 Infection—Lemierre’s Syndrome. The Turkish Journal of Ear Nose and Throat, 32(3), 68-70. https://doi.org/10.26650/Tr-ENT.2022.1075548
AMA Asya O, Karaketir S, Özdemir M, Akmeşe A. An Unusual Presentation of a Patient with Covid-19 Infection—Lemierre’s Syndrome. Tr-ENT. September 2022;32(3):68-70. doi:10.26650/Tr-ENT.2022.1075548
Chicago Asya, Orhan, Semih Karaketir, Mustafa Özdemir, and Atacan Akmeşe. “An Unusual Presentation of a Patient With Covid-19 Infection—Lemierre’s Syndrome”. The Turkish Journal of Ear Nose and Throat 32, no. 3 (September 2022): 68-70. https://doi.org/10.26650/Tr-ENT.2022.1075548.
EndNote Asya O, Karaketir S, Özdemir M, Akmeşe A (September 1, 2022) An Unusual Presentation of a Patient with Covid-19 Infection—Lemierre’s Syndrome. The Turkish Journal of Ear Nose and Throat 32 3 68–70.
IEEE O. Asya, S. Karaketir, M. Özdemir, and A. Akmeşe, “An Unusual Presentation of a Patient with Covid-19 Infection—Lemierre’s Syndrome”, Tr-ENT, vol. 32, no. 3, pp. 68–70, 2022, doi: 10.26650/Tr-ENT.2022.1075548.
ISNAD Asya, Orhan et al. “An Unusual Presentation of a Patient With Covid-19 Infection—Lemierre’s Syndrome”. The Turkish Journal of Ear Nose and Throat 32/3 (September 2022), 68-70. https://doi.org/10.26650/Tr-ENT.2022.1075548.
JAMA Asya O, Karaketir S, Özdemir M, Akmeşe A. An Unusual Presentation of a Patient with Covid-19 Infection—Lemierre’s Syndrome. Tr-ENT. 2022;32:68–70.
MLA Asya, Orhan et al. “An Unusual Presentation of a Patient With Covid-19 Infection—Lemierre’s Syndrome”. The Turkish Journal of Ear Nose and Throat, vol. 32, no. 3, 2022, pp. 68-70, doi:10.26650/Tr-ENT.2022.1075548.
Vancouver Asya O, Karaketir S, Özdemir M, Akmeşe A. An Unusual Presentation of a Patient with Covid-19 Infection—Lemierre’s Syndrome. Tr-ENT. 2022;32(3):68-70.
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