4. Conclusion
Our case report highlights the fact that although LS is a rare medical
condition, it can be deadly. It is essential to recognize early clinical
presentation, especially in young adults presenting with sore throat and
fever or cough. Early recognition of LS will ensure favorable prognosis.
In our patient’s case, although lungs are the most common areas of
septic emboli, her osteomyelitis is suspicious to be secondary to septic
emboli, suggesting that other organs are not immune to disease
pathogenesis but she did not have internal jugular vein thrombosis,
which is required to make the diagnosis.
We hope to raise awareness to clinicians, especially in the era of
SARS-CoV-2, including family medicine practitioners and pediatricians to
maintain high level of clinical suspicion for any adolescent or young
adult patient who presents with unexplained, persistent fever after
oropharyngeal infection to facilitate diagnostic studies to implement
appropriate therapies and prolong survival and favorable outcomes to
prevent the most dire consequences.