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Ann Fr Anesth Reanim · Sep 2011
Case Reports[A parotitis as primary infection of Lemierre's syndrome].
- B Valleix, B Floccard, E Hautin, F Faure, and B Allaouchiche.
- Département d'anesthésie-réanimation, pavillon G, hôpital Édouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69437 Lyon cedex 03, France.
- Ann Fr Anesth Reanim. 2011 Sep 1;30(9):692-5.
AbstractLemierre's syndrome is a classical presentation of human necrobacillosis. It is characterized by a primary infection in the face including a septic thrombophlebitis of the internal jugular vein and disseminated metastatic abcesses. Fusobacterium necrophorum is the main pathogen found in that syndrome. The diagnosis is based on clinical features, then on the microbiology with positive anaerobic blood cultures as key role and finally on the computed tomography. Most of the time a well-chosen antibiotic treatment against anaerobic pathogens and Gram negative bacilli is efficient but surgery can be useful. We report a case of a 73 years old man, which seems to be unique because it is the first case reported of a Lemierre's syndrome characterized by a parotitis infected by F. necrophorum.Copyright © 2011 Elsevier Masson SAS. All rights reserved.
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