Lemierre's syndrome: One rare disease-Two case studies.

Abstract:

WHAT IS KNOWN AND OBJECTIVE:Lemierre's syndrome is often misdiagnosed as a common cold or viral infection. Fusobacterium necrophorum is the most common causative organism. The recommended treatment regimen is 6 weeks of a beta-lactam antibiotic along with metronidazole. CASE DESCRIPTION:We present two cases of Lemierre's syndrome with internal jugular vein thrombophlebitis and positive blood cultures for F. necrophorum. The first case was successfully treated with 6 weeks of a beta-lactam antibiotic and 4 weeks of metronidazole, while the second case was successfully treated with 4 weeks of a beta-lactam antibiotic and 2 weeks of metronidazole. WHAT IS NEW AND CONCLUSION:Two cases of Lemierre's syndrome were treated successfully with only 2-4 weeks of metronidazole therapy. Shorter duration of metronidazole therapy should be explored in future studies.

journal_name

J Clin Pharm Ther

authors

Le C,Gennaro D,Marshall D,Alaev O,Bryan A,Gelfman A,Wang Z

doi

10.1111/jcpt.12774

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

122-124

issue

1

eissn

0269-4727

issn

1365-2710

journal_volume

44

pub_type

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