From: Lemierre syndrome: the forgotten disease—a case series
N° | Unit of management | Age (Years) and sex | Comorbidities and factors favoring | Aetiology | Vessel and side of thrombosis | Isolated germs | Antibiotic received | Anticoagulation | Resection of the IJV | Recanalization of the IJV after treatment | Evolution |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | MFS | 45, M | Anti-inflammatory medication | Angina + necrotizing cellulitis | Left IJV | None | Ceftriaxone + metronidazole | Enoxaparin | Yes | Not applicable | Healing |
2 | MFS | 52, F | Anti-inflammatory medication | Right tonsil foreign body (fishbone) | Right IJV + superior vena cava | Staphylococcus aureus | Ceftriaxone + gentamicin | Enoxaparin then acenocoumarol | No | Yes | Healing |
3 | MFS | 34, M | Anti-inflammatory medication | Odontogenic cellulitis | Left IJV | Staphylococcus aureus | Ceftriaxone + gentamicin + metronidazole | No | No | Yes | Healing |
4 | MFS | 19, M | Tuberculosis | Tuberculous cervical lymphadenopathy | Right IJV | Mycobacterium tuberculosis et Levinea sp | Rifamycine Isoniazid Pyrazinamide Ethambutol (RHZE) + Cefotaxime + Imipenem | No | No | Yes | Healing |
5 | MFS | 28, F | Anti-inflammatory medication | Necrotizing angina | Right IJV | Escherichia coli | Ceftriaxone + metronidazole | No | No | Yes | Healing |
6 | MFS | 69, M | Not found | Retropharyngeal abscess | Right IJV + left IJV | None | Ceftriaxone + metronidazole | Enoxaparin | No | Yes | Healing |
7 | MFS | 23, M | Anti-inflammatory medication | Odontogenic cellulitis | Right IJV | None | Ceftriaxone + metronidazole | No | No | Yes | Retropharyngeal abscess then gone without medical advice |
8 | ENT | 30, M | HIV Infection + Anti-inflammatory medication | Angina + cervical abscess | Right IJV | None | Ceftriaxone + metronidazole | No | No | Yes | Healing |