Evidence map›Paper›PMID 31638919›Full record

ReviewBMC infectious diseases2019

Atypical presentation of Lemierre's syndrome: case report and literature review.

Marie-Eva Laurencet, Sarah Rosset-Zufferey, Jacques Schrenzel

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
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  11. Clinical case reports · 2023
    Article
  12. Article
  13. Lemierre Syndrome: A Diagnosis behind the Veil.Case reports in infectious diseases · 2023
    Article
  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Marie-Eva LaurencetService of General and Internal Medicine, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland.
Sarah Rosset-ZuffereyService of General and Internal Medicine, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland.
Jacques SchrenzelService of Infectious Diseases, Department of Medicine, Geneva University Hospitals and the University of Geneva, 4 Rue Gabrielle-Perret-Gentil, 1211, Geneva 14, Switzerland. marie-eva.laurencet@hcuge.ch.
University Hospital of Geneva · CHUniversity of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe classic Lemierre's syndrome refers to a septic thrombosis of the internal jugular vein, usually caused by a Fusobacterium necrophorum infection starting in the oral cavity, and typically complicated by pulmonary emboli. However, unusual forms of the disorder have been rarely reported. CASE PRESENTATION: We describe an unusual case of a previously healthy 58-year-old male with Lemierre's syndrome, manifesting with lumbar pain and fever. A thrombosis of the iliac veins and abscesses in the right iliac and the left psoas muscles was diagnosed by a computed tomography scan, together with a right lung pneumonia complicated by pleural effusion and an L4-L5 spondylodiscitis. Blood culture and pus drainage were positive for Fusobacterium nucleatum and an atypical Lemierre's syndrome was suspected. The patient was treated with anticoagulant therapy for 12 weeks and intravenous antibiotic therapy for 6 weeks with a good evolution and resolution of the thrombosis.

conclusionsThis case illustrates the thrombogenic and thromboembolic tendency of Fusobacterium nucleatum and its potential invasiveness, regardless of the site of primary infection. The concept of an atypical Lemierre's syndrome is redefined here to take into consideration non-cervical sites.

Indexed as

Fusobacterium necrophorumAdministration, IntravenousAnti-Bacterial AgentsAnticoagulantsBlood CultureDiscitisFeverFollow-Up StudiesFusobacterium InfectionsHumansIliac VeinLemierre SyndromeMaleMiddle AgedPleural EffusionPneumoniaAnti-Bacterial AgentsAnticoagulantsAtypical Lemierre syndromeFusobacteriumSeptic thrombophlebitis

Identifiers

PMID31638919
PMCPMC6805316
OpenAlexW2981421509

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.