Y Kherabi1, G Chevrel2, D Roux3, L Federici4. 1. AP-HP, hôpital Louis-Mourier, service de réanimation médico-chirurgicale, 92700 Colombes, France. Electronic address: yousra.kherabi@aphp.fr. 2. Centre hospitalier Sud Francilien, service de réanimation médico-chirurgicale, 91100 Corbeil-Essonnes, France. 3. AP-HP, hôpital Louis-Mourier, service de réanimation médico-chirurgicale, 92700 Colombes, France; Université de Paris, Inserm, IAME, UMR-1137, 75018 Paris, France. 4. AP-HP, hôpital Louis-Mourier, service de réanimation médico-chirurgicale, 92700 Colombes, France; Centre hospitalier Sud Francilien, service de réanimation médico-chirurgicale, 91100 Corbeil-Essonnes, France.
Abstract
INTRODUCTION: Lemierre's syndrome is defined as an oropharyngeal infection due to Fusobacterium necrophorum, associated with septic thrombophlebitis of the internal jugular vein. The uncommon pelvic variant of the syndrome is a rare condition, poorly described in literature. CASE REPORT: We report a case of gynecological Lemierre's syndrome in a 19-year-old woman after a first sexual intercourse, who presented acute respiratory failure, left internal iliac vein thrombosis with pulmonary embolism, in the setting of salpingitis and F. necrophorum bacteriemia. CONCLUSION: Gynecological Lemierre's syndrome is a rare and unrecognized condition, which could be lethal. Early recognition of the disorder enables initiation of appropriate antibiotic therapy for 4 to 6 weeks, and discussion of anticoagulant therapy which indications are not yet well defined.
INTRODUCTION:Lemierre's syndrome is defined as an oropharyngeal infection due to Fusobacterium necrophorum, associated with septic thrombophlebitis of the internal jugular vein. The uncommon pelvic variant of the syndrome is a rare condition, poorly described in literature. CASE REPORT: We report a case of gynecological Lemierre's syndrome in a 19-year-old woman after a first sexual intercourse, who presented acute respiratory failure, left internal iliac vein thrombosis with pulmonary embolism, in the setting of salpingitis and F. necrophorum bacteriemia. CONCLUSION: Gynecological Lemierre's syndrome is a rare and unrecognized condition, which could be lethal. Early recognition of the disorder enables initiation of appropriate antibiotic therapy for 4 to 6 weeks, and discussion of anticoagulant therapy which indications are not yet well defined.