Heimgartner B, Knecht U, Oestmann A
Universitätsklinik für Allgemeine Innere Medizin, Inselspital, Universitätsspital Bern.
Praxis (Bern 1994). 2010 Jul 7;99(14):859-62. doi: 10.1024/1661-8157/a000189.
We report the case of a 39-year old patient with septicemia treated for pharyngitis with antibiotics since a few days. She wasn't able to swallow her antibiotics anymore because of dysphagia. Radiologic examination revealed pulmonary infiltrates and Vena iugularis interna-thrombosis. These findings and anamnesis led to the diagnosis of Lemierre syndrome inspite of lacking detection of bacteria. After changing the antibiotic therapy and start of anticoagulation further course of illness was favorable. The long duration of hospitalization was indepted to high morbidity typically seen in Lemierre syndrome.
