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.