Lemierre's syndrome presenting to the ED: rapidly fatal sepsis

Am J Emerg Med · Jan 2013

Case Reports

Lemierre's syndrome presenting to the ED: rapidly fatal sepsis caused by methicillin-susceptible Staphylococcus aureus Staphylococcus protein A type t044.

We describe the case of a fatal septic illness in a previously healthy young man caused by community-acquired methicillin-susceptible Staphylococcus aureus of Staphylococcus protein A (spa) type t044. The patient developed a devastating Lemierre-like syndrome with extensive thrombosis of inferior vena cava and iliac veins with multiple metastatic septic emboli of the lungs. He presented to the emergency department with rapidly progressing sepsis followed by multiple organ dysfunction syndrome. Recognition of such virulent community-acquired strains is of great importance because they could prove to be emerging pathogens for life-threatening diseases.

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- Melina Kachrimanidou, Ioannis Kioumis, Afroditi Boutou, Stamatina Vlachou, Eleni Tsorlini, and Paraskevi Argyropoulou-Pataka.
- Respiratory Failure Unit, Aristotle University of Thessaloniki, G.H. G. Papanikolaou, Exohi, Thessaloniki, 57010, Greece. gpitsiou@yahoo.gr
- Am J Emerg Med. 2013 Jan 1;31(1):268.e5-7.
AbstractWe describe the case of a fatal septic illness in a previously healthy young man caused by community-acquired methicillin-susceptible Staphylococcus aureus of Staphylococcus protein A (spa) type t044. The patient developed a devastating Lemierre-like syndrome with extensive thrombosis of inferior vena cava and iliac veins with multiple metastatic septic emboli of the lungs. He presented to the emergency department with rapidly progressing sepsis followed by multiple organ dysfunction syndrome. Recognition of such virulent community-acquired strains is of great importance because they could prove to be emerging pathogens for life-threatening diseases.

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Lemierre's syndrome presenting to the ED: rapidly fatal sepsis caused by methicillin-susceptible Staphylococcus aureus Staphylococcus protein A type t044.

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