Neurological Variant of Lemierre's Syndrome with Purulent Meningitis: A Case Report and Literature Review.
- Resource Type
- Article
- Authors
- Bouziri, Asma; Douira, Wiem; Khaldi, Ammar; Mrad, Sonia; Bouyahia, Olfa; Smaoui, Hanene; Sammoud, Azza; Menif, Khaled; Jaballah, Nejla Ben
- Source
- Fetal & Pediatric Pathology. Feb2013, Vol. 32 Issue 1, p1-6. 6p. 2 Color Photographs, 1 Chart.
- Subject
- *CASE studies
*LEMIERRE syndrome
*OTITIS media
*MENINGITIS
*JUVENILE diseases
*GRAM-negative bacteria
*TOMOGRAPHY
*LITERATURE reviews
- Language
- ISSN
- 1551-3815
We report an unusual variant of Lemierre's Syndrome (LS) in a 10-year-old-girl admitted to the intensive care unit for septic shock with meningitis. The primary infection was otitis media. A gram negative bacillus was identified in the direct exam of the purulent ear discharge and the cerebrospinal fluid but cultures were negative. Computerized tomography of the neck revealed a thrombus in the internal jugular vein. Septic shock improved rapidly under supportive treatment. The patient recovered without sequellae after a prolonged duration of parenteral antibiotherapy and hospital stay. Neurologic variants of LS with meningitis, previously reported in the literature, are reviewed. [ABSTRACT FROM AUTHOR]