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Dangerous Liaisons: Pelvic Variant of Lemierre Syndrome by Right Common Iliac Vein Thrombophlebitis After Sexual Intercourse.

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W ith an incidence of 3.6 cases per 1 million per year, Lemierre syndrome (LS) is a rare but potentially life-threatening entity. It mostly affects teenagers and young adults. Lemierre… Click to show full abstract

W ith an incidence of 3.6 cases per 1 million per year, Lemierre syndrome (LS) is a rare but potentially life-threatening entity. It mostly affects teenagers and young adults. Lemierre syndrome is characterized by an oropharyngeal infection followed by septic thrombophlebitis of the internal jugular vein and subsequent septic embolisms, commonly to the lungs. Fusobacterium necrophorum (FN), a gram-negative anaerobe usually found in the oropharynx, is the main pathogen involved in LS. Recommended antibiotic regimens are based on metronidazole, amoxicillin, and clavulanate or clindamycin. Without proper antibiotic treatment, death usually occurs within 14 days after infection due to disseminated microthrombosis responsible for multiorgan failure. Herein, we describe an uncommon pelvic variant of LS in the setting of postcoital vaginal wound.

Keywords: vein; pelvic variant; lemierre syndrome; dangerous liaisons; thrombophlebitis

Journal Title: Journal of Lower Genital Tract Disease
Year Published: 2017

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