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See Latest ArticlesA Sore Throat - Potentially Life-Threatening?
Journal of General Internal Medicine, 05/12/09
Li H-Y et al. - The authors report a new case of Lemierre’s syndrome that occurred in an otherwise healthy 18-year-old woman, who initially presented with fever and sore throat. The diagnosis was not made until a week later when blood cultures became available. This syndrome should be suspected until proven otherwise in any patient with signs of pharyngitis, a painful swollen neck, and pulmonary symptoms. By presenting this curable, but potentially life-threatening case of Lemierre’s syndrome, the authors hope to increase the awareness of the early clinical manifestations of Lemierre’s syndrome and to emphasize the importance of careful physical examination with special attention to the neck. Clinicians should be aware that exclusion of streptococcal infection in a patient with severe tonsillar infection does not exclude a bacterial cause.
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