Complex Partial Seizure as a Presentation of Lemierre’s Syndrome
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Lemierre’s syndrome is difficult to treat with early suspicion because of its various clinical presentations. We demonstrated unusual presentation of Lemierre’s syndrome as a complex partial seizure. A 17 year-old female had aggravated symptoms of upper respiratory infection for 2 weeks followed by complex partial seizure during one hour. Laboratory test revealed acute inflammatory state and radiologic images including computed tomography and angiography demonstrated right lateral neck inflammation with internal jugular vein occlusion. She underwent debridement of inflammatory tissue and ligation of internal jugular vein under diagnosis of Lemierre’s syndrome. Because of progression of thrombosis of distal internal jugular vein, she had anticoagulation therapy for 3 months. After that, she followed-up without any discomfort. Lemierre’s syndrome could be successfully managed by combined surgical and medical treatment. Proper treatment with early suspicion is crucial because it could present various clinical features and cause serious complications.
Abstract
Lemierre’s syndrome is difficult to treat with early suspicion because of its various clinical presentations. We demonstrated unusual presentation of Lemierre’s syndrome as a complex partial seizure. A 17 year-old female had aggravated symptoms of upper respiratory infection for 2 weeks followed by complex partial seizure during one hour. Laboratory test revealed acute inflammatory state and radiologic images including computed tomography and angiography demonstrated right lateral neck inflammation with internal jugular vein occlusion. She underwent debridement of inflammatory tissue and ligation of internal jugular vein under diagnosis of Lemierre’s syndrome. Because of progression of thrombosis of distal internal jugular vein, she had anticoagulation therapy for 3 months. After that, she followed-up without any discomfort. Lemierre’s syndrome could be successfully managed by combined surgical and medical treatment. Proper treatment with early suspicion is crucial because it could present various clinical features and cause serious complications.
참고문헌 (9)
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