Lemierre’s syndrome and right adnexal abscess; A case report and review of the literature
Journal Title: Journal of Microbiology and Infectious Diseases - Year 2014, Vol 4, Issue 3
Abstract
Lemierre’s syndrome is an extremely rare but a completely curable condition. A high index of suspicion is needed for early diagnosis and proper treatment. We report a 20 year old virgin Caucasian lady presented with sore throat, fever, neck pain, nausea and vomiting followed by acute abdomen. Her laboratory investigations revealed white blood count 13,300/mm3, C-reactive protein 332 mg/L. Abdominal computed tomography scan showed pelvic abscess 6.2 x 6.1 cm mainly involving the right ovary. Intra-abdominal swab showed growth of Fusobactrerium necrophorum . Right adnexectomy and proper antibiotic was carried out. High index of doubt is the most important key in diagnosing this fatal syndrome. In our case the diagnosis of the syndrome was made only after the isolation of F. necrophorum from the intra-abdominal swab culture. J Microbiol Infect Dis 2014; 4(3): 114-117 Key words: Lemierre’s syndrome; adnexal abscess; virgin
Authors and Affiliations
Malak Al-Hakeem, Thomas Schneider, Cronen Thomas, and Behluli
Keywords
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- EP ID EP110846
- DOI 10.5799/ahinjs.02.2014.03.0151
- Views 91
- Downloads 0
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