Lemierre Syndrome involving Schaalia (Formerly Actinomyces) odontolyticus due to injection drug use into the neck
Lemierre Syndrome, septic thrombophlebitis of the internal jugular vein following oropharyngeal infection, is classically caused by Fusobacterium necrophorum and associated with septic emboli. We present a case of Lemierre Syndrome involving Schaalia odontolyticus (formerly Actinomyces) in the setti...
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| Language: | English |
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Elsevier
2024-01-01
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| Series: | IDCases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S221425092400180X |
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| author | Roohali A. Sukhavasi Nina J. Gao Christopher J. Smith Sarah A. Schmalzle |
| author_facet | Roohali A. Sukhavasi Nina J. Gao Christopher J. Smith Sarah A. Schmalzle |
| author_sort | Roohali A. Sukhavasi |
| collection | DOAJ |
| description | Lemierre Syndrome, septic thrombophlebitis of the internal jugular vein following oropharyngeal infection, is classically caused by Fusobacterium necrophorum and associated with septic emboli. We present a case of Lemierre Syndrome involving Schaalia odontolyticus (formerly Actinomyces) in the setting of injection drug use. A 46-year-old man presented with right neck swelling and abscess with S. odontolyticus as the primary bacterium isolated from the abscess culture, which was introduced to the site when the patient had licked his needle and injected illicit drugs into his neck. The patient did not develop septic emboli, had sterile blood cultures, and was treated with surgical drainage and 2 weeks of oral linezolid without anticoagulation, with presumed cure. S. odontolyticus is a fastidious commensal oral bacterium involved in the formation of dental plaque, but has also been associated with severe extra-oropharyngeal manifestations. S. odontolyticus infections been increasingly reported in the literature, likely related to the advent of advanced identification technology like matrix-assisted laser desorption ionization-time of flight mass spectrometry, which can more easily identify fastidious organisms. |
| format | Article |
| id | doaj-art-1d24e30282d14cba88d57da090de05d9 |
| institution | Kabale University |
| issn | 2214-2509 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj-art-1d24e30282d14cba88d57da090de05d92024-12-07T08:27:17ZengElsevierIDCases2214-25092024-01-0138e02104Lemierre Syndrome involving Schaalia (Formerly Actinomyces) odontolyticus due to injection drug use into the neckRoohali A. Sukhavasi0Nina J. Gao1Christopher J. Smith2Sarah A. Schmalzle3University of Maryland School of Medicine, 655 W Baltimore St S, Baltimore, MD 21201, USA; Correspondence to: Institute of Human Virology, 725 W Lombard St, Baltimore, MD 21201, United StatesUniversity of Maryland School of Medicine, 655 W Baltimore St S, Baltimore, MD 21201, USA; Department of Pathology, 655 W Baltimore St S, Baltimore, MD 21201, United StatesUniversity of Maryland Medical Center, 22 S Greene St., Baltimore, MD 21201, United StatesDepartment of Medicine, Division of Infectious Disease, 655 W Baltimore St S, Baltimore, MD 21201, United StatesLemierre Syndrome, septic thrombophlebitis of the internal jugular vein following oropharyngeal infection, is classically caused by Fusobacterium necrophorum and associated with septic emboli. We present a case of Lemierre Syndrome involving Schaalia odontolyticus (formerly Actinomyces) in the setting of injection drug use. A 46-year-old man presented with right neck swelling and abscess with S. odontolyticus as the primary bacterium isolated from the abscess culture, which was introduced to the site when the patient had licked his needle and injected illicit drugs into his neck. The patient did not develop septic emboli, had sterile blood cultures, and was treated with surgical drainage and 2 weeks of oral linezolid without anticoagulation, with presumed cure. S. odontolyticus is a fastidious commensal oral bacterium involved in the formation of dental plaque, but has also been associated with severe extra-oropharyngeal manifestations. S. odontolyticus infections been increasingly reported in the literature, likely related to the advent of advanced identification technology like matrix-assisted laser desorption ionization-time of flight mass spectrometry, which can more easily identify fastidious organisms.http://www.sciencedirect.com/science/article/pii/S221425092400180XActinomycosisActinomycesSchaalia odontolyticusLemierre SyndromeInjection drug use |
| spellingShingle | Roohali A. Sukhavasi Nina J. Gao Christopher J. Smith Sarah A. Schmalzle Lemierre Syndrome involving Schaalia (Formerly Actinomyces) odontolyticus due to injection drug use into the neck IDCases Actinomycosis Actinomyces Schaalia odontolyticus Lemierre Syndrome Injection drug use |
| title | Lemierre Syndrome involving Schaalia (Formerly Actinomyces) odontolyticus due to injection drug use into the neck |
| title_full | Lemierre Syndrome involving Schaalia (Formerly Actinomyces) odontolyticus due to injection drug use into the neck |
| title_fullStr | Lemierre Syndrome involving Schaalia (Formerly Actinomyces) odontolyticus due to injection drug use into the neck |
| title_full_unstemmed | Lemierre Syndrome involving Schaalia (Formerly Actinomyces) odontolyticus due to injection drug use into the neck |
| title_short | Lemierre Syndrome involving Schaalia (Formerly Actinomyces) odontolyticus due to injection drug use into the neck |
| title_sort | lemierre syndrome involving schaalia formerly actinomyces odontolyticus due to injection drug use into the neck |
| topic | Actinomycosis Actinomyces Schaalia odontolyticus Lemierre Syndrome Injection drug use |
| url | http://www.sciencedirect.com/science/article/pii/S221425092400180X |
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