Surgical intervention of Lemierre's syndrome: a case report and review of the literature
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Surgical intervention of Lemierre's syndrome: a case report and review of the literature. / Pan, Yiqi; Shi, Zhihong; Ye, Bin; Da, Qian; Wang, Chaofu; Shen, Yilin; Xiang, Mingliang.
In: J MED CASE REP, Vol. 18, No. 1, 31.05.2024, p. 265.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Surgical intervention of Lemierre's syndrome: a case report and review of the literature
AU - Pan, Yiqi
AU - Shi, Zhihong
AU - Ye, Bin
AU - Da, Qian
AU - Wang, Chaofu
AU - Shen, Yilin
AU - Xiang, Mingliang
N1 - © 2024. The Author(s).
PY - 2024/5/31
Y1 - 2024/5/31
N2 - BACKGROUND: Lemierre's syndrome is a fatal and rare disease that is typically characterized by oropharyngeal infection and internal jugular vein thrombosis. Timely institution of appropriate antibiotics is the standard treatment.CASE PRESENTATION: The authors report a case of Lemierre's syndrome. A 67-year-old male patient of Han ethnicity in China suffered from a large inflammatory neck mass involving left internal jugular vein thrombosis diagnosed as Lemierre's syndrome and finally cured by surgical treatment. In addition, a literature review was carried out through PubMed using the terms "Lemierre's syndrome/disease and review, meta-analysis or retrospective study" and "Lemierre's syndrome/disease and internal jugular vein". This search yielded six articles that recorded surgical methods such as drainage, craniotomy, tooth extraction, and ligation of the occluded vein to give clinicians more ideas about the treatment of the Lemierre's syndrome.CONCLUSION: This is the first review to summarize the conditions under which surgical treatment are conducted. Additionally, this is the first report of such a large inflammatory neck mass that was completely cured by surgical resection and internal jugular vein ligation. The authors also offer several conclusions regarding surgical intervention in Lemierre's syndrome for the first time.
AB - BACKGROUND: Lemierre's syndrome is a fatal and rare disease that is typically characterized by oropharyngeal infection and internal jugular vein thrombosis. Timely institution of appropriate antibiotics is the standard treatment.CASE PRESENTATION: The authors report a case of Lemierre's syndrome. A 67-year-old male patient of Han ethnicity in China suffered from a large inflammatory neck mass involving left internal jugular vein thrombosis diagnosed as Lemierre's syndrome and finally cured by surgical treatment. In addition, a literature review was carried out through PubMed using the terms "Lemierre's syndrome/disease and review, meta-analysis or retrospective study" and "Lemierre's syndrome/disease and internal jugular vein". This search yielded six articles that recorded surgical methods such as drainage, craniotomy, tooth extraction, and ligation of the occluded vein to give clinicians more ideas about the treatment of the Lemierre's syndrome.CONCLUSION: This is the first review to summarize the conditions under which surgical treatment are conducted. Additionally, this is the first report of such a large inflammatory neck mass that was completely cured by surgical resection and internal jugular vein ligation. The authors also offer several conclusions regarding surgical intervention in Lemierre's syndrome for the first time.
KW - Humans
KW - Lemierre Syndrome/surgery
KW - Male
KW - Jugular Veins/surgery
KW - Aged
KW - Treatment Outcome
KW - Ligation
KW - Anti-Bacterial Agents/therapeutic use
KW - Drainage
KW - Tomography, X-Ray Computed
KW - Venous Thrombosis/surgery
U2 - 10.1186/s13256-024-04584-2
DO - 10.1186/s13256-024-04584-2
M3 - SCORING: Review article
C2 - 38816729
VL - 18
SP - 265
JO - J MED CASE REP
JF - J MED CASE REP
SN - 1752-1947
IS - 1
ER -