Lemierre syndrome with pulmonary empyema caused by Prevotella intermedia

BMJ Case Rep. 2024 Mar 15;17(3):e258158. doi: 10.1136/bcr-2023-258158.

Abstract

Lemierre syndrome is a rare disease that is most often caused by Fusobacterium necrophorum We present a case caused by Prevotella intermedia in a young, healthy man, complicated by multiple cavitary lung lesions, loculated pleural effusions requiring chest tube placement and trapezius abscess. Our case highlights (a) P. intermedia as a rare cause of Lemierre syndrome and (b) clinical response to appropriate antimicrobial therapy may be protracted.

Keywords: Infections; Pneumonia (infectious disease).

Publication types

  • Case Reports

MeSH terms

  • Abscess / microbiology
  • Anti-Bacterial Agents / therapeutic use
  • Empyema, Pleural* / diagnostic imaging
  • Empyema, Pleural* / drug therapy
  • Fusobacterium Infections* / complications
  • Fusobacterium Infections* / diagnosis
  • Fusobacterium Infections* / drug therapy
  • Fusobacterium necrophorum
  • Humans
  • Lemierre Syndrome* / diagnosis
  • Lemierre Syndrome* / diagnostic imaging
  • Male
  • Pleural Effusion* / drug therapy
  • Prevotella intermedia

Substances

  • Anti-Bacterial Agents