Retrofarengeal ve Mediastinal Abse ile Sonuçlanan Lemierre Sendromu

Öz

Genelde orofarengeal bir enfeksiyonu takiben gelişen internal juguler venin septik tromboflebitiyle tanımlanan lemierre sendromu yaygın olarak sağlıklı gençlerde veya genç yetişkinlerde gözlenmektedir. Yeni Koronavirüs Hastalığı (COVID-19) semptomatolojisi nedeniyle başvuran her hastanın COVID-19 olası vaka olarak başlangıçta değerlendirildiği, 23 yaşında erkek hastada gelişen retrofarengeal ve mediastinal absenin cerrahi ve medikal müdahelerle başarılı bir şekilde tedavisi yapıldı. Başlangıçta olası COVID-19 olarak değerlendirilen ve takip edilen ancak sonrasında ekarte edilen bu ön tanısı, retrofarengeal den başlayıp mediastene uzanan absesi olan lemierre sendromlu olgumuzun tanı ve tedavisini literatürü gözüyle sunmayı amaçladık.

Anahtar Kelimeler

• Lemierre sendromu,
• İnternal juguler ven
• Retrofarengeal abse
• COVID-19

A complex case of retropharyngeal and mediastinal abscess during the Covid-19 pandemic: Lemierre's syndrome

Abstract

Lemierre’s syndrome, which is commonly observed in healthy adolescents and young adults, is characterized by septic thrombophlebitis of the internal jugular vein and is usually observed after an oropharyngeal infection. At the time of the pandemic, as a result of so many patients COVID-19, similar symptoms were initially diagnosed as a possible coronavirus case and followed up with a possible diagnosis of COVID-19 before being consulted. We present the case of a 23-year-old male patient, who was referred to our clinic with complaints of fever, sore throat, dysphagia, shortness of breath, and chest pain. A retropharyngeal and mediastinal abscess occurred after these symptoms were successfully treated with surgical and medical interventions. The patient was initially considered a potential case of COVID-19 and followed as such. COVID-19 was then excluded, and the patient was reported to have an abscess extending from the retropharyngeal area to the mediastinum. We aim to present the diagnosis and treatment of Lemierre’s syndrome based on a literature review.

Keywords

• Lemierre’s syndrome
• Internal jugular vein
• Retropharyngeal abscess
• COVID-19

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