Left ventricular pseudoaneurysm in Lemierre's syndrome: a case report.

ABSTRACT:

Background

Lemierre's syndrome is an infectious phenomenon characterized by oropharyngeal infection with bacteraemia, thrombophlebitis, and distant septic emboli. Septic emboli are a recognized cause of a Type 2 myocardial infarction, with a left ventricular pseudoaneurysm being a rare but important complication of this.

Case summary

A 19-year-old male presented with acute confusion, fevers, and a cough. Blood cultures were positive for Fusobacterium necrophorum and initial imaging showed a cavitating pneumonia. Further evaluation revealed septic emboli in the distal digits and brain. The patient initially responded to antibiotic therapy but developed chest pain with increased troponin levels. An electrocardiogram showed inferolateral ST elevation. A transthoracic ech

SUBMITTER: Gall A 

PROVIDER: S-EPMC10032300 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature