A spate of Lemierre syndrome cases: Causes other than Fusobacterium spp. | Zendy

R.K.C. Raymond | Zendy; Mi-Jung Oh | Zendy; Humaira Shafi | Zendy; AC Acosta | Zendy

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A spate of Lemierre syndrome cases: Causes other than Fusobacterium spp.

Author(s) -

R.K.C. Raymond,

Mi-Jung Oh,

Humaira Shafi,

AC Acosta

Publication year - 2016

Publication title -

international journal of infectious diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.278

H-Index - 89

eISSN - 1878-3511

pISSN - 1201-9712

DOI - 10.1016/j.ijid.2016.02.327

Subject(s) - medicine , fusobacterium necrophorum , peritonsillar abscess , thrombophlebitis , fusobacterium , abscess , internal jugular vein , mastoiditis , surgery , thrombosis , otitis , bacteroides , biology , bacteria , genetics

Of the study population, 18 (78.2%) were men, with a mean age of 54 years. The commonest co-morbidity was diabetes mellitus, followed by chronic kidney disease and alcoholism. The most frequently affected site was the lower extremities. All the patients underwent surgical debridement and amputation was performed in one patient, followed by antibiotic therapy. The survival rate was 100%. Conclusion: The emm gene profile of our study population was entirely different from the common emm types (emm1, emm3, emm28, emm18) related to severe disease. The 100% survival rate may be attributed to early appropriate management as well as less virulent emm types.

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