Paralysis: A Rare Presentation of Lemierre's Syndrome: A Case Report.

Authors

• Madeline McGovern
• Tristan Blase Fried
• John Mangan
• Alan S Hilibrand

Publication/Presentation Date

1-1-2022

Abstract

CASE: A patient presented with acute paralysis in the setting of undiagnosed Lemierre's syndrome. Streptococcus pyogenes was the causative organism leading to internal jugular vein thrombosis, sternocleidomastoid abscess, vertebral osteomyelitis, and epidural phlegmon. The patient was treated both surgically, with abscess evacuation, hemicorpectomy, and fusion, and medically, with antibiotics and anticoagulation. Postoperatively, the patient regained upper extremity strength and lower extremity sensation, but the paraplegia remained.

CONCLUSION: Lemierre's syndrome is a rare complication of oropharyngeal infection with a constellation of findings including jugular thrombophlebitis, metastatic abscesses, and frequent involvement of anaerobic pathogens that may present acutely with paralysis.

Volume

12

Issue

1

ISSN

2160-3251

Published In/Presented At

McGovern, M., Fried, T. B., Mangan, J., & Hilibrand, A. S. (2022). Paralysis: A Rare Presentation of Lemierre's Syndrome: A Case Report. JBJS case connector, 12(1), 10.2106/JBJS.CC.21.00682. https://doi.org/10.2106/JBJS.CC.21.00682

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

36099469

Department(s)

Administration and Leadership

Document Type

Article