MedBugs: SAQ #493

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Case: Lemierre syndrome

An otherwise well 20-year-old male patient presents with sepsis seven days after developing a severe sore throat. You suspect Lemierre syndrome. He has no significant past history, is on no regular meds and has NKDA.

1. List (3) elements of Lemierre Syndrome. 3 marks

2. State (4) specific findings you would seek on physical examination. 4 marks

3. What is the commonest complication of this condition? 1 mark

4. What is the confirmatory investigation? 1 mark

5. Prescribe your antibiotic regimen including dose and frequency. 1 mark

IV fluid resuscitation has been commenced and he is currently haemodynamically stable. Analgesia has been provided.

6. State (2) other specific treatments you would consider. 2 marks

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