Case Report

Lemierre Syndrome: A Diagnosis behind the Veil

Table 2

Duration of therapy and anticoagulation use in Lemierre syndrome case reports from 2016 to 2021.

Author, yearAntibiotics usedLength of antibiotic courseAnticoagulation/Antiplatelet givenLength of anticoagulation courseSource

1Laurencet, Marie-Eva et al., 2020Amoxicillin-clavulanate + clindamycin6 weeksAcenocoumarol12 weeks[21]
2Goan, Hannah et al., 2021Meropenem + vancomycinN/AApixaban + clopidogrelN/A[22]
3Lee, Seung Eun et al., 2021Amoxicillin-clavulanate + clindamycin6 weeksRivaroxaban12 weeks[23]
4Latif, Azka et al., 2021Vancomycin + pipera cillin/tazobactam ⟶ vancomycin + doxycycline + meropenem12 weeksApixabanNot specified[24]
5Lanfear, Allison et al., 2020Ceftriaxone and metronidazole6 weeksN/AN/A[25]
6Zhao, Andrew, et al., 2017Piperacillin/tazobactam + IV vancomycin ⟶ ceftriaxone + metronidazoleN/AN/AN/A[26]
7Santos, Fabio Videira et al., 2020Ceftriaxone and metronidazole2 weeksEnoxaparin12 weeks[27]
8Jaber, Tariq et al., 2021Ampicillin-sulbactam + 1 dose of gentamicin ⟶ amoxicillin-clavulanic6 weeksN/AN/A[4]
9Jaber, Tariq et al., 2021Ceftriaxone + azithromycin ⟶ piperacillin-tazobactam and levofloxacin ⟶ piperacillin-tazobactam and clindamycin ⟶ amoxicillin-clavulanateN/AHeparin ⟶ warfarin14 weeks[4]
10Jaber, Tariq et al., 2021Cefepime and metronidazole ⟶ ampicillin-sulbactam ⟶ amoxicillin-clavulanate6 weeksApixaban12 weeks[4]
11Jaber, Tariq et al, 2021Meropenem and vancomycin ⟶ ampicillin-sulbactam6 weeksN/AN/A[4]
12Costa, Fatima et al., 2021Ceftriaxone, azithromycin ⟶ ? maybe kept at same medication3 weeksHeparin ⟶ rivaroxaban16 weeks[28]
13Karn, Michele et al., 2020Clindamycin, vancomycin, ceftriaxone, and ampicillin/sulbactam ⟶ meropenem5 weeksEnoxaparin5 weeks[29]
14Alves, Sergio et al., 2019Amoxicillin/clavulanate + metronidazole6 weeksEnoxaparin14 weeks[30]
15Ngu, Vincent et al., 2018Amoxicillin/clavulanate ⟶ amoxicillin/clavulanate + metronidazole2 weeksNot specified2 weeks[31]
16Dasari, Suhas et al., 2020IV ceftriaxone and oral metronidazole4 weeksWarfarin12 weeks[32]
17Mellor, Thomas et al., 2017Piperacillin/tazobactam ⟶ ertapenem4 weeksN/AN/A[33]
18Gohal, Satan et al. 2021Piperacillin-tazobactam and clindamycin6 weeksEnoxaparinNot specified[34]
19Jawad et al., 2018Amoxicillin/clavulanate + clarithromycin ⟶ piperacillin-tazobactam + metronidazole ⟶ amoxicillin/clavulanate6 weeksLow molecular weight heparin ⟶ rivaroxaban12 weeks[35]
20Gonzalez et al., 2019Vancomycin and piperacillin/tazobactam ⟶ vancomycin4 weeksIV heparin ⟶ oral apixaban10 days[36]
21Garcia et al., 2017i.v, cefepime, and metronidazole ⟶ IV metronidazole ⟶ amoxicillin‐clavulanate6 weeksIV heparin ⟶ warfarinNot specified[37]
22Barguil et al., 2021Ceftriaxone, metronidazole, and linezolid ⟶ amoxicillin-clavulanic acid4 weeksEnoxaparin4 weeks[38]
23Sattar et al., 2020Meropenem ⟶ piperacillin/tazobactam ⟶ clindamycin3 weeksHeparin ⟶ warfarinNot specified[39]
24Howley et al., 2020Ceftriaxone, vancomycin, and metronidazole ⟶ intravenous ceftriaxone and oral metronidazole12 weeksEnoxaparin12 weeks[40]
25Man, Man-Yee et al., 2018Doxycycline, clindamycin, and vancomycin ⟶ meropenem + doxycycline ⟶ amoxicillin-clavulanate6 weeksN/AN/A[41]
26De Oliveira, Rodrigo et al., 2018Azithromycin, clindamycin, and ceftriaxone ⟶ clindamycin, and ceftriaxone10 daysN/AN/A[12]