Infection

, Volume 41, Issue 4, pp 889–892

A rare case of Lemierre`s syndrome caused by Porphyromonas asaccharolytica

  • K. Takeda
  • T. Kenzaka
  • Y. Morita
  • S. Kuroki
  • E. Kajii
Case Report

DOI: 10.1007/s15010-013-0421-3

Cite this article as:
Takeda, K., Kenzaka, T., Morita, Y. et al. Infection (2013) 41: 889. doi:10.1007/s15010-013-0421-3

Abstract

Lemierre’s syndrome is only very rarely caused by Porphyromonas asaccharolytica. Here, we report the case of a 35-year-old man who developed a left peritonsillar abscess, thrombophlebitis of the left internal jugular vein, and septic embolization of both lungs. Anaerobic P. asaccharolytica was isolated in the blood cultures, and we subsequently confirmed the diagnosis as Lemierre’s syndrome. Our case indicates that although P. asaccharolytica is not commonly found in oral cavities, this organism may still cause Lemierre’s syndrome. Consequently, when it is detected in blood cultures, the treating physician should perform the medical examination while keeping in mind the possibility that the patient could have Lemierre’s syndrome.

Keywords

Lemierre’s syndromePorphyromonas asaccharolytica

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • K. Takeda
    • 1
  • T. Kenzaka
    • 1
  • Y. Morita
    • 1
  • S. Kuroki
    • 1
  • E. Kajii
    • 2
  1. 1.Division of General Medicine, Center for Community MedicineJichi Medical University School of MedicineShimotsukeJapan
  2. 2.Division of Community and Family Medicine, Center for Community MedicineJichi Medical University School of MedicineShimotsukeJapan