Lemierre’s syndrome by bacillus circulans, fusobacterium nucleatum and staphylococcus aureus with involvement of the internal and external jugular vein

Abstract

Introduction Lemierre’s syndrome refers to the septic thrombophlebitis of the internal jugular vein, secondary to a pharyngeal infection. Although it mainly affects the internal jugular vein, isolated cases have been described of involvement of the external jugular vein. The main etiological agent is Fusobacterium necrophorum. Case report A 27-year-old male, previously healthy, presented with a 7-day history of sore throat and fever. He was diagnosed with Lemierre’s syndrome, coinfection by Bacillus circulans, F. nucleatum and Staphylococcus aureus with an atypical presentation due to the involvement of the external jugular vein and the internal jugular vein. Conclusions As far as we are aware, we present the first case of Lemierre’s syndrome with these characteristics. © GERMS 2021.

Introducción El síndrome de Lemierre se refiere a la tromboflebitis séptica de la vena yugular interna, secundaria a una infección faríngea. Aunque afecta principalmente a la vena yugular interna, se han descrito casos aislados de afectación de la vena yugular externa. El principal agente etiológico es Fusobacterium necrophorum. Caso clínico Varón de 27 años, previamente sano, que consultó por dolor de garganta y fiebre de 7 días de evolución. Se le diagnosticó síndrome de Lemierre, coinfección por Bacillus circulans, F. nucleatum y Staphylococcus aureus con presentación atípica por compromiso de la vena yugular externa y la vena yugular interna. Conclusiones Hasta donde sabemos, presentamos el primer caso de síndrome de Lemierre con estas características. © GÉRMENES 2021.