UN CON DE PENUMBRĂ NEMERITAT – SINDROMUL LEMIERRE (SL) ASPECTE DIAGNOSTICE ȘI TERAPEUTICE

July 1, 2001

G. A. Popescu*, Cristina Popescu*, Georgeta Burduja**
*Dr. Gabriel-Adrian Popescu, medic primar, asistent universitar, Dr. Cristina Popescu, medic specialist, asistent universitar, Institutul de Boli Infecțioase “Prof. dr. Matei Balș” UMF “Carol Davila”, București
**Dr. Georgeta Burduja, medic rezident, Institutul de Boli Infecțioase “Prof. dr. Matei Balș” UMF “Carol Davila”, București

Abstract

The Lemierre Syndrome – a often forgotten clinical situation. Diagnose and therapeutical aspects Lemierre syndrome is classical an illness characterized by the development of an anaerobic sistemic infection (especially with F. necrophorum) with septic trombophle­ bitis and multiple metastatic foci following an attack of acute tonsillitis. Although now rarely seen and often forgot­ ten, it remains a potentially life-threatening condition. Clas­ sical picture tends to vary in terms of primary septic focus, secondary foci, etiology. Apropriate therapy improve prog­ nosis: penicilin G + metronidazol (or clindamycin), anti­ coagulants and only in few cases excision of septic foci.