Necrotizing fasciitis on the right side of the neck with internal jugular vein thrombophlebitis and septic emboli: A case of Lemierre's-like syndrome

Dang Nguyen, Nur Yazmin Yaacob, Hamzaini Abdul Hamid, Sobri Muda

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Lemierre's syndrome (LS) is a rare life-threatening infective condition typically starting with an oropharyngeal infection causing thrombophlebitis and metastatic abscesses. The most common aetiology of LS is Fusobacterium necrophorum; however, it can also occur after infection with other organisms. LS mainly affects young healthy adults. The initial infection site can be in the head and neck or in the abdomen. The morbidity rate of this disease is high despite aggressive treatments. In this article, we report a 63-year-old male patient with uncontrolled diabetes mellitus, presenting with Klebsiella pneumoniae infection-induced necrotizing fasciitis on the right side of the neck, leading to LS.

Original languageEnglish
Pages (from-to)70-78
Number of pages9
JournalMalaysian Journal of Medical Sciences
Volume20
Issue number5
Publication statusPublished - Oct 2013

Fingerprint

Lemierre Syndrome
Necrotizing Fasciitis
Thrombophlebitis
Jugular Veins
Embolism
Neck
Klebsiella Infections
Infection
Fusobacterium necrophorum
Klebsiella pneumoniae
Abdomen
Abscess
Young Adult
Diabetes Mellitus
Head
Morbidity

Keywords

  • Fusobacterium necrophorum
  • Klebsiella pneumoniae
  • Lemierre syndrome
  • Necrotizing fasciitis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Necrotizing fasciitis on the right side of the neck with internal jugular vein thrombophlebitis and septic emboli: A case of Lemierre's-like syndrome",
abstract = "Lemierre's syndrome (LS) is a rare life-threatening infective condition typically starting with an oropharyngeal infection causing thrombophlebitis and metastatic abscesses. The most common aetiology of LS is Fusobacterium necrophorum; however, it can also occur after infection with other organisms. LS mainly affects young healthy adults. The initial infection site can be in the head and neck or in the abdomen. The morbidity rate of this disease is high despite aggressive treatments. In this article, we report a 63-year-old male patient with uncontrolled diabetes mellitus, presenting with Klebsiella pneumoniae infection-induced necrotizing fasciitis on the right side of the neck, leading to LS.",
keywords = "Fusobacterium necrophorum, Klebsiella pneumoniae, Lemierre syndrome, Necrotizing fasciitis",
author = "Dang Nguyen and Yaacob, {Nur Yazmin} and {Abdul Hamid}, Hamzaini and Sobri Muda",
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AU - Yaacob, Nur Yazmin

AU - Abdul Hamid, Hamzaini

AU - Muda, Sobri

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N2 - Lemierre's syndrome (LS) is a rare life-threatening infective condition typically starting with an oropharyngeal infection causing thrombophlebitis and metastatic abscesses. The most common aetiology of LS is Fusobacterium necrophorum; however, it can also occur after infection with other organisms. LS mainly affects young healthy adults. The initial infection site can be in the head and neck or in the abdomen. The morbidity rate of this disease is high despite aggressive treatments. In this article, we report a 63-year-old male patient with uncontrolled diabetes mellitus, presenting with Klebsiella pneumoniae infection-induced necrotizing fasciitis on the right side of the neck, leading to LS.

AB - Lemierre's syndrome (LS) is a rare life-threatening infective condition typically starting with an oropharyngeal infection causing thrombophlebitis and metastatic abscesses. The most common aetiology of LS is Fusobacterium necrophorum; however, it can also occur after infection with other organisms. LS mainly affects young healthy adults. The initial infection site can be in the head and neck or in the abdomen. The morbidity rate of this disease is high despite aggressive treatments. In this article, we report a 63-year-old male patient with uncontrolled diabetes mellitus, presenting with Klebsiella pneumoniae infection-induced necrotizing fasciitis on the right side of the neck, leading to LS.

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