Table 1 Examples of atypical Lemierre’s syndrome
From: Atypical presentation of Lemierre’s syndrome: case report and literature review
Age, gender | Location of the infection | Organism | Atypical presentation | Reference, year |
|---|---|---|---|---|
A) Complicated bacteremia due to Fusobacterium (necrobacilloses) | ||||
42 yr, female | Vertebral osteomyelitis | F. nucleatum | Complicated bacteremia without thrombosis or metastatic abscess | Ramos et al., 2013 [2] |
B) Conditions mimicking a Lemierre syndrome | ||||
4 yr, male child | Multiple peri-tonsillar abscesses with brain, orbits and lung emboli | Staphylococcus aureus | Organism mimicking Lemierre’s syndrome | Aouad et al., 2010 [3] |
59 yr, male | Right internal jugular vein thrombosis and abscesses | Streptococcus anginosus | Organism mimicking Lemierre’s syndrome | Osman et al., 2017 [4] |
C) Atypical Lemierre’s syndrome | ||||
26 yr, male | Lower limb trauma complicated by extensive inferior vena cava and femoral vein thrombosis, lung abscesses | F. necrophorum | Lower limb origin, site of thrombosis (inferior vena cava) | Razonable et al., 2003 [5] |
47 yr, female | Left ovarian vein thrombosis (with intrauterine device) | F. necrophorum | No obvious origin of infection, site of thrombosis (ovarian vein) | Huynh-Moynot et al., 2011 [6] |
32 yr, male | Prostatic abscess (on urinary catheter) with iliac vein thrombosis, pulmonary abscess and pleural fistula | F. necrophorum | Prostatic origin, site of thrombosis (iliac vein) | Bonny et al., 2019 |
26 yr, male | Inferior vena cava and common femoral vein thrombosis and multiple abscesses in the lungs | F. necrophorum | Site of thrombosis (femoral vein thrombosis) After a trauma-associated abscess of the limb | Razonable et al., 2003 [5] |
58 yr, male | Thromboses of the two iliac veins, abscesses in muscles, pleural effusion complicating a pneumonia and L4-L5 spondylodiscitis | F. nucleatum | Site of thrombosis (iliac veins), site of abscesses (iliac and psoas muscle), spondylodiscitis and organism | This report |