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Cardiologia Croatica, Vol. 16 No. 11-12, 2021.

Meeting abstract

https://doi.org/10.15836/ccar2021.361

Lemierrov sindrom: descedentni nektorični medijastinitis

Bernarda Markov orcid id orcid.org/0000-0002-4704-3978 ; Opća bolnica Šibenik, Šibenik, Hrvatska
Snježana Jušić ; Opća bolnica Šibenik, Šibenik, Hrvatska

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Abstract

Keywords

Lemierrov sindrom; medijastinitis; post-COVID-19

Hrčak ID:

265055

URI

https://hrcak.srce.hr/265055

Publication date:

6.10.2021.

Article data in other languages: english

Visits: 1.341 *

Copyright: 2021, Croatian Cardiac Society

Date received: 07 September 2021

Date accepted: 14 September 2021

Publication date (print and electronic): October 2021

Volume: 16

Issue: 11-12

Page: 361

Publisher ID: CC 2021 16_11-12_361

DOI: 10.15836/ccar2021.361

Article Information (continued)

Categories:

Subject: Case reports

Categories:

Subject: Extended Abstract

Keywords:

Keyword: KLJUČNE RIJEČI: Lemierrov sindrom

Keyword: medijastinitis

Keyword: post-COVID-19

KEYWORDS: :

KEYWORDS:

Keyword: Lemierr´s syndrome

Keyword: mediastinitis

Keyword: post-COVID-19

Lemierre´s syndrome: descending necrotizing mediastinitis

Translated Title (hr): Lemierrov sindrom: descedentni nektorični medijastinitis

[https://orcid.org/0000-0002-4704-3978] Bernarda Markov[*]

[https://orcid.org/0000-0001-8088-494X] Snježana Jušić

 

Opća bolnica Šibenik, Šibenik, Hrvatska

Šibenik General Hospital, Šibenik, Croatia

Author notes:

Correspondence to: [*] Address for correspondence: Bernarda Markov, Opća bolnica Šibenik, Ul. Stjepana Radića 83, HR-22000 Šibenik, Croatia. / Phone: +385-91-317-6166 / E-mail: bernardabalin@gmail.com

Lemierre´s syndrome is a rare but serious infection caused by bacteria attacking the lymph nodes of the neck and causing blood clots to form in the large veins of the neck, whereas mediastinistis is an acute inflammation of the mediastinum. (1,2) The presence of enlarged lymph nodes in the mediastinum on an X-ray of the lungs or a CT of the thorax leads to the diagnosis.

In this case report we describe the case of 40-year-old patient who was admitted to the Cardiology Department of the Šibenik General Hospital due to swelling and pain in the left side of the neck, as well as fever. The course of the patient’s stay in Šibenik General Hospital, as well as the transfer and course of the patient’s stay in University Hospital Centre Split, where the patient was transferred due to disturbed general condition, hemodynamic instability, and worsening of inflammatory parameters, is shown. All diagnostic procedures for determining the cause of the patient’s condition, as well as all therapeutic procedures, are also discussed. Deep vein thrombosis of the cephalic vein, pericardium effusion, and bilateral pleural effusion were all confirmed by diagnostic tests. Can we say with certainty that the resulting clinical picture is post-COVID-19 because the patient overcame a moderate clinical picture of SARS-CoV-2 virus infection a month before the onset of these symptoms?

LITERATURE

1 

Eilbert W, Singla N. Lemierre’s syndrome. Int J Emerg Med. 2013 October 23;6(1):40. https://doi.org/10.1186/1865-1380-6-40 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/24152679

2 

Kovacić I, Kovacić M. Descendending necrotizing mediastinitis single center experience. Lijec Vjesn. 2014 July-August;136(7-8):186–91. PubMed: http://www.ncbi.nlm.nih.gov/pubmed/25327005

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