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The Egyptian Journal of Bronchology
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Reverse Lemierre’s syndrome: a case report

Egyptian Journal of Bronchology volume 12, pages 363–366 (2018)Cite this article

Abstract

We present the case of a 60-year-old diabetic who had acute-onset shortness of breath that was preceded by bilateral thigh and hip pain. He was initially admitted for septic arthritis with community-acquired pneumonia. His respiratory complaints resolved, but he continued to have thigh pain. Ultrasound of the lower limbs showed thrombosis of the deep veins of the thigh and MRI showed a collection in the right thigh suggestive of pyomyositis with thrombosis in deep veins abutting the collection. Contrast enhanced CT (CECT) chest showed multiple peripherally located pneumatoceles and cavities in both the lungs suggestive of septic emboli. Here, we present a case of pyomyositis of thigh muscles causing Deep vein thrombosis (DVT) and septic pulmonary emboli (reverse Lemierre’s syndrome).

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Authors and Affiliations

  1. Department of Medicine, All India Institute of Medical Sciences, 110029, New Delhi, India

    Ram M. Talupula, Animesh Ray MD (Med) DNB (Med) MNAMS MRCP (UK) EDICI DM (Pulm and Crit Care Medicine) & Rita Sood

  2. Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India

    Smita Manchanda

Authors
  1. Ram M. Talupula
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  2. Animesh Ray MD (Med) DNB (Med) MNAMS MRCP (UK) EDICI DM (Pulm and Crit Care Medicine)
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  3. Smita Manchanda
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  4. Rita Sood
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Corresponding author

Correspondence to Animesh Ray MD (Med) DNB (Med) MNAMS MRCP (UK) EDICI DM (Pulm and Crit Care Medicine).

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Talupula, R.M., Ray, A., Manchanda, S. et al. Reverse Lemierre’s syndrome: a case report. Egypt J Bronchol 12, 363–366 (2018). https://doi.org/10.4103/ejb.ejb_93_17

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  • DOI: https://doi.org/10.4103/ejb.ejb_93_17

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