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        Differential Diagnosis of Lemierre’s Syndrome in a Patient with Acute Paresis of the Abducens and Oculomotor Nerves

        Andreas Gutzeit,Justus E. Roos,Bettina Portocarrero-Fäh,Carolin Reischauer,Lulian Claas,Karin Gassmann,Klaus Hergan,Sebastian Kos,Biliana Rodic,Kerstin Winkler,Urs Karrer,Sabine Sartoretti-Schefer 대한안과학회 2013 Korean Journal of Ophthalmology Vol.27 No.3

        Lemierre’s syndrome is characterized by anaerobic septicemia, internal jugular vein thrombosis, and septic emboli associated with infections of the head and neck. We describe an unusual and clinically confusing case of a young woman with an acute paresis of the abducens nerve and partial paresis of the right oculomotor nerve. After an extensive imaging diagnostic procedure, we also documented a peritonsillar abscess and various types of thromboses in intracranial and extracranial veins. Furthermore, we found brain and lung abscesses, which led us to establish the diagnosis of Lemierre's syndrome. Despite intensive anti-coagulation and antibiotic therapy,the patient developed a mycotic aneurysm in the right internal carotid artery directly adjacent to the previously thrombosed cavernous sinus. In summary, we were able to confirm that Lemierre's syndrome may occur in conjunction with uncharacteristic symptoms. Due to the sometimes confusing clinical symptoms as well as clinical and radiological specialties, we had to work on an interdisciplinary basis to minimize the delay prior to establishing the diagnosis and therapy.

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        WeTrace: a Privacy-preserving Tracing Approach

        Muriel Franco,Bruno Rodrigues,Christian Killer,Eder John Scheid,Alessandro De Carli,Andreas Gassmann,David Schönbächler,Burkhard Stiller 한국통신학회 2021 Journal of communications and networks Vol.23 No.5

        For the protection of people and society against harmand health threats—especially in case of the COVID-19 pandemic— a variety of different disciplines needs to be involved. The datacollection of basic and health-related data of individuals in today’shighly mobile society does help to plan, protect, and identify nextsteps health authorities and governments can, shall, or need to planfor or even implement. Thus, every individual, human, and inhabitantof the world is the key player—very different from many pastcrises’. And since all individuals are involved his/her (a) health and(b) privacy shall be considered in a very carefully crafted balance,not overruling one aspect with another one. Privacy remains key. The solution of the current pandemic’s data collection can bebased on a fully privacy-preserving application, which can be usedby individuals on their mobile devices, such as smartphones, whilemaintaining at the same time their privacy. Additionally, respectivedata collected in such a fully distributed setting does help to confinethe pandemic and can be achieved in a democratic and very open,but still and especially privacy-protecting manner. Therefore, the WeTrace approach and application designed utilizesthe Bluetooth low energy (BLE) communication channel,many modern mobile devices offer, where public-key cryptographyis being applied to allow for deciphering of messages for that destinationit had been intended for. Since literally every other potentialparticipant only listens to random data, even a brute force attackwill not succeed. WeTrace and its Open Source implementation ensurethat any receiver of a message knows that this is for him/her,without being able to identify the original sender.

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