Ann Clin Case Rep | Volume 5, Issue 1 | Case Report | Open Access

A Rare Combination of Citelli’s Abscess and Lemierre’s Syndrome due to Proteus Mirabilis

Wanda Siyabonga Tshabalala*, Bradley Naidoo and Shaun-Ray Garth Temmers

Department of Internal Medicine, University of KwaZulu-Natal, South Africa

*Correspondance to: Wanda Siyabonga Tshabalala 

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We present a case report of an 18-year-old male with chronic Otis media that complicated with Lemierre’s Syndrome (LS) and a Citelli’s abscess due to infection by Proteus mirabilis. Citelli’s abscess is infrequently encountered in patients with suppurative otitis media; the presence of LS in combination is a rare occurrence. Prior to the wide distribution of antibiotic use LS was an oftenfatal condition. Though its prevalence has decreased in recent years, there has been a resurgence due to antibiotic resistance. Fusobacterium species have long been reported as the most prevalent organism in this disease. The presents of Proteus species as source pathogen has not been identified to date. Following early surgical and medical intervention the patient had a favourable outcome in this case. Difficulties in theatre time and access to imaging may have contributed to delay in diagnosis; however this did not lead to worsening morbidity.


Lemierre’s syndrome; Proteus mirabilis; Chronic otitis media; Citelli’s abscess


Tshabalala WS, Naidoo B, Garth Temmers S-R. A Rare Combination of Citelli’s Abscess and Lemierre’s Syndrome due to Proteus Mirabilis. Ann Clin Case Rep. 2020; 5: 1854.

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