Lemierre’s Syndrome: A Complication of Cervicofacial Cellulitis in a Child

Authors

  • Mohamed Ali GLITI ENT Department, Rabat Specialty Hospital, Ibn Sina University Hospital, Hafiane-Cherkaoui Avenue, 10100 Rabat, Morocco. Author
  • Lina EL Messaoudi Resident physician in otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco Author
  • Sophia Nitassi Professor of otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco Author
  • Bencheikh Razika Professor of otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco Author
  • Benbouzid Mohamed Anas Professor of otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco Author
  • Abdelilah Oujilal Professor of otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco Author
  • Leila Essakalli Houssyni Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco Author

DOI:

https://doi.org/10.47363/JPR/2021(3)128

Keywords:

Lemierre Syndrome, Jugular Vein Thrombosis, Cervicofacial Cellulitis

Abstract

Introduction: Lemierre’s syndrome complicates oropharyngeal infection and associates septic thrombophlebitis of the internal jugular vein with sepsis and distant septic emboli (especially pulmonary). We report a pediatric case with thrombophlebitis of the jugular vein in the context of cervicofacial cellulitis.

Summary of the Clinical Case: A 2-year-old girl consulted in the emergency room for angina complicated by right cervicofacial cellulitis with thrombosis of the right jugular vein. The diagnosis of atypical Lemierre syndrome was made and the patient received first medical treatment (antibiotic therapy, anticoagulation) allowing a cure without sequelae. And secondary surgical treatment (adenoidectomy and tonsillectomy).

Discussion: The presence of a cervical venous thrombosis complicating an oropharyngeal infection should lead to a search for Lemierre’s syndrome (blood cultures and chest CT) rare but serious and require immediate treatment.

Author Biographies

  • Mohamed Ali GLITI, ENT Department, Rabat Specialty Hospital, Ibn Sina University Hospital, Hafiane-Cherkaoui Avenue, 10100 Rabat, Morocco.

    Mohamed Ali GLITI, ENT Department, Rabat Specialty Hospital, Ibn Sina University Hospital, Hafiane-Cherkaoui Avenue, 10100 Rabat, Morocco. 

  • Lina EL Messaoudi, Resident physician in otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco

    Lina EL Messaoudi, Resident physician in otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco 

  • Sophia Nitassi, Professor of otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco

    Sophia Nitassi, Professor of otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco 

  • Bencheikh Razika, Professor of otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco

    Bencheikh Razika, Professor of otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco 

  • Benbouzid Mohamed Anas, Professor of otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco

    Benbouzid Mohamed Anas, Professor of otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco 

  • Abdelilah Oujilal, Professor of otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco

    Abdelilah Oujilal, Professor of otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco 

  • Leila Essakalli Houssyni, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco

    Leila Essakalli Houssyni, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco 

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Published

2021-05-25

Issue

Vol. 3 No. 2 (2021): Volume 3 Issue 2

Section

Articles