Nøgleord
pleura infection
Fusobacterium necrophorum
point-of-care ultrasound
oropharyngeal symptoms
internal jugular thrombosis
Citation/Eksport
Resumé
A 25-year-old woman presented to the emergency department with dyspnea after recent sore throat and failed antibiotic treatment. Point-of-care lung ultrasound revealed consolidation and pleural effusion, and cultures grew Fusobacterium necrophorum. CT showed no thrombosis in the internal jugular vein. The case highlights atypical Lemierre’s syndrome, the value of history-taking, point-of-care ultrasound, and early pleural aspiration.
Referencer
Hagelskjaer Kristensen L, Prag J. Lemierre’s syndrome and other disseminated Fusobacterium necrophorum infections in Denmark: a prospective epidemiological and clinical survey. Eur J Clin Microbiol Infect Dis. 2008;27(9):779-89. doi:10.1007/s10096-008-0496-4.
Riordan T. Human infection with Fusobacterium necrophorum (necrobacillosis), with a focus on Lemierre’s syndrome. Clin Microbiol Rev. 2007;20(4):622-59. doi:10.1128/CMR.00011-07.
Gore MR. Lemierre syndrome: a meta-analysis. Int Arch Otorhinolaryngol. 2020;24(3):e379-e385. doi:10.1055/s-0039-3402433.
UpToDate. Lemierre syndrome: septic thrombophlebitis of the internal jugular vein [Internet]. Waltham (MA): UpToDate; [cited 2026 Mar 24]. Available from: https://www.uptodate.com/contents/lemierre-syndrome-septic-thrombophlebitis-of-the-internal-jugular-vein
Dansk Lungemedicinsk Selskab. Pleurainfektion – DLS [Internet]. [cited 2026 Mar 25]. Available from: https://lungemedicin.dk/pleurainfektion/
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