Pulmonary embolism and internal jugular vein thrombosis as evocative clues of Lemierre's syndrome:A case report and review of the literature

作     者：Alfredo De Giorgi Fabio Fabbian Christian Molino Elisa Misurati Ruana Tiseo Claudia Parisi Benedetta Boari Roberto Manfredini 

作者机构：Department of Medical SciencesClinica Medica UnitSchool of MedicineUniversity of FerraraUniversity Hospital of Ferrara 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2017年第5卷第3期

页      面：112-118页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

主　　题：Lemierre’s syndrome Pulmonary embolism Fusobacterium species Internal jugular vein thrombosis Systemic septic embolization 

摘      要：Lemierre’s syndrome(LS)is an uncommon condition with oropharyngeal infections,internal jugular vein thrombosis,and systemic metastatic septic embolization as the main *** species,a group of strictly anaerobic Gram negative rod shaped bacteria,are advocated to be the main pathogen *** report a case of LS complicated by pulmonary embolism and pulmonary septic emboli that mimicked a neoplastic lung condition.A Medline search revealed 173 case reports of LS associated with internal jugular vein thrombosis that documented the type of *** confirmed high prevalence in young males with Gram negative infections(83.2%).Pulmonary embolism was reported in 8.7% of cases mainly described in subjects with Gram positive infections(OR=9.786;95%CI:2.577-37.168,P=0.001),independently of age and *** four fatal cases were *** is an uncommon condition that could be complicated by pulmonary embolism,especially in subjects with Gram positive infections.