Rare and life-threatening complication after an attempted lower third molar extraction: Lemierre syndrome

Author:

Varvara G12,Bernardi S32,Piattelli M1,Cutilli T4

Affiliation:

1. Department of Medical, Oral and Biotechnological Sciences, ‘G. d’Annunzio’ University of Chieti–Pescara, Chieti, Italy

2. These authors equally contributed to the work

3. Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy

4. Maxillofacial Surgery Operative Unit, Department of Life, Health and Environmental Sciences, ‘San Salvatore’ City Hospital, L’Aquila, Italy

Abstract

Lemierre’s syndrome is also known as the forgotten disease, and is a rare but life-threatening complication that can arise after surgical extractions of infected mandibular third molars. Owing to its rarity, oral and maxillofacial surgeons might not immediately recognise or can underestimate the pathological signs, and consequently do not apply the appropriate therapy to treat the syndrome. Here, we report on the occurrence and management of a case of Lemierre’s syndrome, where the complications affected the right sigmoid sinus. Since the condition appear to be underreported and not properly highlighted, eventual systematic review and meta-analysis of the occurrence of the Lemierre’s syndrome are highly recommended.

Publisher

Royal College of Surgeons of England

Subject

General Medicine,Surgery

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