Jugular Vein Thrombosis and Anticoagulation Therapy in Lemierre's Syndrome

Fusobacterium necrophorum Lemierre Lemierre’s syndrome jugular thrombosis septic thrombophlebitis

Journal

Open forum infectious diseases
ISSN: 2328-8957
Titre abrégé: Open Forum Infect Dis
Pays: United States
ID NLM: 101637045

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 03 11 2020
accepted: 25 11 2020
entrez: 15 1 2021
pubmed: 16 1 2021
medline: 16 1 2021
Statut: epublish

Résumé

Lemierre's syndrome is typically caused by Patients with invasive infection with Fifty-one of 82 (62%) radiologically investigated patients with Lemierre's syndrome had jugular vein thrombosis. Patients with jugular vein thrombosis had lower platelet levels (median, 76 vs 112 ×10 Patients with Lemierre's syndrome with jugular vein thrombosis were more severely affected, yet had similar prognosis. Most patients with jugular vein thrombosis recovered well without therapeutic anticoagulation therapy, though adverse events were similarly rare in anticoagulated patients. The observational design and rarity of study outcomes require cautious interpretation.

Sections du résumé

BACKGROUND BACKGROUND
Lemierre's syndrome is typically caused by
METHODS METHODS
Patients with invasive infection with
RESULTS RESULTS
Fifty-one of 82 (62%) radiologically investigated patients with Lemierre's syndrome had jugular vein thrombosis. Patients with jugular vein thrombosis had lower platelet levels (median, 76 vs 112 ×10
CONCLUSIONS CONCLUSIONS
Patients with Lemierre's syndrome with jugular vein thrombosis were more severely affected, yet had similar prognosis. Most patients with jugular vein thrombosis recovered well without therapeutic anticoagulation therapy, though adverse events were similarly rare in anticoagulated patients. The observational design and rarity of study outcomes require cautious interpretation.

Identifiants

pubmed: 33447643
doi: 10.1093/ofid/ofaa585
pii: ofaa585
pmc: PMC7793455
doi:

Types de publication

Journal Article

Langues

eng

Pagination

ofaa585

Informations de copyright

© The Author(s) 2020. Published by Oxford University Press on behalf of Infectious Diseases Society of America.

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Auteurs

David Nygren (D)

Division of Infection Medicine, Department for Clinical Sciences Lund, Lund University, Lund, Sweden.

Johan Elf (J)

Center of Thrombosis and Haemostasis, Skåne University Hospital, Malmö, Sweden.

Gustav Torisson (G)

Clinical Infection Medicine, Department of Translational Medicine, Lund University, Malmö, Sweden.

Karin Holm (K)

Division of Infection Medicine, Department for Clinical Sciences Lund, Lund University, Lund, Sweden.

Classifications MeSH