Spring Hill, Florida (May 31, 2017) – Oak Hill Hospital is particularly proud to announce that Adam Alperstein, MD, PGY2 (Post-Graduate Year Second Year Resident) is the first member of the GME program to publish an article while in residency in the Graduate Medical Education program.
The article is a case report and literature review on a rare and unusual type of blood clot in the neck veins due to certain deep neck infections. It’s titled Septic Thrombophlebitis of the Internal Jugular Vein: A Case of Lemierre’s Syndrome.
The paper was recently accepted for publication in the Intractable & Rare Diseases Research Journal.
Dr. Alperstein initially presented this case as a poster at the American College of Physicians conference earlier this year.
“The subject matter is interesting to me because there is a debate regarding the decision to treat or not to treat this unusual type of blood clot with blood thinners. Typically, blood clots are treated with blood thinners, in the form of anticoagulation, unless there is a risk of bleeding,” said Dr. Alperstein. “Anticoagulants are high-risk medications for treating and preventing blood clots, with specific indications and small therapeutic windows where limiting its use may worsen a blood clot and the inappropriate use may cause bleeding.
This type of blood clot is unusual because it is caused by an infection, which is associated with a higher than usual risk of bleeding when treating with anticoagulants compared to typical blood clots. The literature, however, also states that this type of infectious blood clot has a risk of spreading to distant organs, which then may require use of anticoagulation at that point, but may possibly be avoided if treated very early with just antibiotics.
We were able to successfully treat this blood clot by treating the infection early in the disease course without having to use anticoagulants. I am very fortunate I had the opportunity to treat this rare disease and want to share my experience with others in supporting the debate that treatment of Lemierre’s disease can be successful without anticoagulants.”
Attached photo: Adam Alperstein, MD
About Oak Hill Hospital:
Oak Hill Hospital is an accredited teaching hospital with 50 medical residents in the hospital’s three-year Graduate Medical Education program in internal medicine as well as a one year Transitional Year GME program.
Oak Hill Hospital has been serving the Nature Coast since 1984. It is the largest medical facility in Hernando and Citrus Counties (280 beds), is the area’s largest private employer, and offers Hernando County’s only comprehensive cardiovascular program, including open heart surgery. Over 300 physicians, 1,200 associates, and approximately 250 volunteers comprise Oak Hill Hospital’s healthcare delivery team.
The new Maternity Suites at Oak Hill Hospital opened in June of 2016, offering advanced labor and delivery capabilities in a comfortable and family centered setting. Oak Hill Hospital offers several unique programs in the area, including a graduate medical education program, a hospitalist program, 24/7 intensivists, and 24/7 on site radiologists. Please visit our website for a comprehensive listing of all Oak Hill Hospital accreditations, awards, and distinctions.
The hospital is located at 11375 Cortez Boulevard, Brooksville, 1.9 miles east of US 19 on State Road 50. For more information about this release, please contact Richard W. Linkul, Director of Marketing, at 352-597-6383 or Richard.Linkul@HCAHealthcare.com. In Citrus County, call 352-628-6441. For more information about Oak Hill Hospital, visit our website at OakHillHospital.com, or Like us on Facebook.