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- Title
Diagnosing Lemierre's Syndrome as the Cause of Multifocal Pneumonia During the COVID-19 Pandemic.
- Authors
SOARES, CULLEN; BLACKWOOD, KRISTY; VECCHIO, MARC; FRANCIS, ELIZABETH R.; SHENJUN ZHU; JOHNSON, JENNIE
- Abstract
A 21-year-old male with no past medical history presented with a sore throat, cough, and shortness of breath after attending a party days earlier. He was initially treated for community-acquired pneumonia, but subsequently developed a new oxygen requirement. CT imaging of the chest showed multifocal airspace disease, concerning for COVID-19. Testing for SARS-CoV-2 was negative by RTPCR and antibody testing. Blood cultures subsequently grew Streptococcus anginosus. A CT scan of his neck demonstrated a right peritonsillar abscess and right internal-jugular thrombus, consistent with Lemierre's syndrome. He underwent incision and drainage of the peritonsillar abscess and completed 4 weeks of IV antibiotics, which improved his symptoms. It is important to recognize that the differential diagnosis of multifocal pneumonia is broad and includes Lemierre's syndrome. The COVID-19 pandemic presents challenges with regards to anchoring bias for multifocal pneumonia.
- Subjects
COVID-19 pandemic; DIAGNOSIS; COMPUTED tomography; ANTIBODY titer; SYMPTOMS; COUGH
- Publication
Rhode Island Medical Journal, 2021, Vol 104, Issue 7, p46
- ISSN
0363-7913
- Publication type
Article