Lemierre Syndrome Complicating Deep Neck Infection and Descending Mediastinitis Secondary to Methicillin resistant Staphylococcus aureus (MRSA) Infection

Abdulqader Al-Hebshi; Hind Alharbi; Rayan Karbouji; Ghaya Al Qurainees; Ahmad Alkurdi

doi:10.12669/pjms.38.5.5442

Lemierre Syndrome Complicating Deep Neck Infection and Descending Mediastinitis Secondary to Methicillin resistant Staphylococcus aureus (MRSA) Infection

Pak J Med Sci. 2022 May-Jun;38(5):1409-1412. doi: 10.12669/pjms.38.5.5442.

Authors

Abdulqader Al-Hebshi¹, Hind Alharbi², Rayan Karbouji³, Ghaya Al Qurainees⁴, Ahmad Alkurdi⁵

Affiliations

¹ Abdulqader Al-Hebshi, Department of Pediatric, Prince Mohammad bin Abdul Aziz Hospital, Ministry of National Guard-Health Affairs, Madina, Saudi Arabia.
² Hind Alharbi, Department of Pediatric, Prince Mohammad bin Abdul Aziz Hospital, Ministry of National Guard-Health Affairs, Madina, Saudi Arabia.
³ Rayan Karbouji, Department of Pediatric, Prince Mohammad bin Abdul Aziz Hospital, Ministry of National Guard-Health Affairs, Madina, Saudi Arabia.
⁴ Ghaya Al Qurainees, Department of Pediatric, Prince Mohammad bin Abdul Aziz Hospital, Ministry of National Guard-Health Affairs, Madina, Saudi Arabia.
⁵ Ahmad Alkurdi, Division of ENT, Department of Surgery, Prince Mohammad bin Abdul Aziz Hospital, Ministry of National Guard-Health Affairs, Madina, Saudi Arabia.

Abstract

Lemierre syndrome (LS) is an oropharyngeal infection, followed by bacteremia, thrombosis of the internal jugular vein and subsequent hematogenic metastasis via septic emboli. We report a case of Lemierre syndrome complicated by descending necrotizing mediastinitis due to a Methicillin-resistant Staphylococcus aureus (MRSA) infection in a 5-month-old Saudi boy.

Keywords: Jugular vein; Lemierre syndrome; MRSA; Thrombophlebitis.

Publication types

Case Reports