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A case of craniocervical abscess with sinus thrombosis in Lemierre's syndrome.

Abstract
A 74-year old gentleman with a cranio-cervical abscess failed to improve after incision and drainage and standard intravenous antibiotic therapy. Imaging demonstrated thrombosis of the internal jugular vein, sigmoid sinus and transverse sinus; and microbiological analysis isolated Fusobacterium nucleatum. The diagnosis of Lemierre's syndrome was confirmed, and he was effectively treated with appropriate antibiotics and anti-coagulation.
AuthorsKathryn Price, Lyndsay Wilson, Magnum Tsegaye
JournalBritish journal of neurosurgery (Br J Neurosurg) Vol. 26 Issue 3 Pg. 426-8 (Jun 2012) ISSN: 1360-046X [Electronic] England
PMID22077587 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anti-Bacterial Agents
  • Anticoagulants
  • Warfarin
Topics
  • Aged
  • Anti-Bacterial Agents (therapeutic use)
  • Anticoagulants (therapeutic use)
  • Brain Abscess (drug therapy)
  • Drug Therapy, Combination
  • Humans
  • Jugular Veins
  • Lemierre Syndrome (drug therapy)
  • Magnetic Resonance Imaging
  • Male
  • Sinus Thrombosis, Intracranial (drug therapy)
  • Warfarin (therapeutic use)

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