Uncommon - Lemierre's Syndrome
Published on Nov 19, 2015
This is for a class project and not made by a medical professional.
MORE DECKS TO EXPLORE
PRESENTATION OUTLINE
Uncommon
is not a disease
Photo by betta design
imagine
Photo by bortescristian
you are in college
you get a sore throat
you feel like you have the flu
you go to health service
you get a z-pack
they tell you have strep and need to rest
you don't get better
You go back to health service
they call your mom
she takes you home
to the local hospital
nobody knows what is wrong
You are getting really sick!
now your head hurts
really badly
then things go really bad
you can't breath well
you need a ventilator
your thoughts are confused
that night you have a stroke
actually 3 strokes
you are airlifted
to a big city hospital
where they save your life
...because a doctor there diagnoses your disease
You Rush to get A CT
your carotid artery is blocked
Diagnosis
lemierre's syndrome
... we never heard of it.
has your doctor ever heard of it?
does your health service know what it is
bacteremia, supperative thrombophlebitis, due to Fusobacterium necrophorum pharyngitis.
it follows a progression
It can be treated well if recognized
Here's what it is
This is how it works
Bacteria form a pocket in your throat
usually behind your tonsil.
The bacteria grow rapidly
this is when your throat hurts, you ache and have a fever
The body tries to block the bacteria
from going to your brain.
You form a clot in the internal jugular vein(s)
This keeps the bacteria from getting through
But also the blood flow is blocked
organs can shut down, strokes can happen
Doctors know what antibiotics
will kill this type of bacteria
antibiotics ThAT WORK
high dose penicillin and metronidazole. Intravenous clindamycin
Fusobacterium Necrophorum
This is the germ
The Bacteria destroys
RED BLOOD CELLS
Once you get the antibiotics
You get better...if
it didn't kill you
Before the doctor's recognized it.
young people die from lemierre's syndrome
Because it isn't recognized fast enough.
After thE INFECTION...
everyone's outcome is different.
Depending on where the damage is
you will have a loss of movement, memory, acuity or vision..
A Friend who survived lemmierre's has double vision
Diplopia. It takes a long time to heal.
She has to wear a patch
She can't drive. She is very brave.
But She is ALIVE
Because although this disease is
Start with the Facebook Page
Lemierre's Syndrome Fighters and Survivors
https://www.facebook.com/groups/48682079727/
It's not as unusual as you would think.
Here is a Great Video
Sections in ThE Peggy Mason MOOC at the U of C Helped Me Understand this:
- The anatomy of the Internal Jugular in Section 4.6
- The Willis area, Plan B, in section 4.7
- Penumbra in Section 4.9
- Note: This slide deck is only a supplement to the full paper
