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Case Reports in Critical Care
Volume 2016 (2016), Article ID 1264283, 3 pages
http://dx.doi.org/10.1155/2016/1264283
Case Report

Severe Sepsis Associated with Lemierre’s Syndrome: A Rare but Life-Threatening Disease

1Intensive Care Unit, Anaesthesia and Critical Care Department, University Hospital of Rennes, 2 rue Henri Le Guilloux, 35000 Rennes, France
2Inserm U991, Rennes, France

Received 2 March 2016; Accepted 22 March 2016

Academic Editor: Caterina Mammina

Copyright © 2016 Audrey Tawa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The incidence of Lemierre’s syndrome has increased in the past decade. This posttonsillitis complication may be life threatening. Case Presentation. A 19-year-old patient was admitted to Surgical Intensive Care Unit of a French University Hospital for high fever, low blood pressure, and haemoptysis following a sore throat episode. Blood analysis revealed a thrombopenia, an acute renal failure, and an elevated lactate serum. Fusobacterium necrophorum was found in blood cultures. Computed tomography of the neck and lungs confirmed the diagnosis of Lemierre’s syndrome: pleural effusions, bilateral lung infiltrates, and an internal jugular vein thrombosis. Fluid administration and antibiotic treatment were quickly initiated. Patient left the unit four days after his admission without any organ dysfunction. Conclusion. Lemierre’s syndrome may lead to multiorgan dysfunction and should be rapidly identified.