Just a simple case of tonsillitis? Lemierre’s Syndrome and thrombosis of the external jugular vein.

Lemierre’s syndrome comprises internal jugular vein thrombosis following oropharyngeal sepsis and is a rare and serious condition. It is most commonly caused by the anaerobe Fusobacterium necrophorum and typically presents as metastatic sepsis to the lungs and joints. Thrombosis is demonstrated by computed tomography (CT) of the neck, and it is routinely treated with intravenous antibiotics and anti-coagulation.We describe a case of Lemierre’s syndrome following acute supraglottitis. The clinical features were of retrograde intracranial thrombosis, rather than the more usual metastatic sepsis.

Download Full-text

Acute neck pain referred to the surgeon: Lemierre's syndrome as a differential diagnosis

Annals of The Royal College of Surgeons of England ◽

10.1308/003588412x13171221589414 ◽

2012 ◽

Vol 94 (3) ◽

pp. e132-e133 ◽

Cited By ~ 1

Author(s):

D Chattopadhyay ◽

ML Mostafa ◽

M Carr

Keyword(s):

Pulmonary Embolism ◽

Differential Diagnosis ◽

Neck Pain ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Lemierre’S Syndrome ◽

Lemierre's Syndrome ◽

Acute Neck Pain

Lemierre's syndrome is usually reported in the young and in fit individuals. We report a case of an 81-year-old woman who presented with thrombophlebitis of the internal jugular vein with a pulmonary embolism.

Download Full-text

Lemierre’s syndrome: a complication of acute oropharyngitis

The Journal of Laryngology & Otology ◽

10.1258/0022215001906110 ◽

2000 ◽

Vol 114 (7) ◽

pp. 545-547 ◽

Cited By ~ 27

Author(s):

R. Agarwal ◽

P. S. Arunachalam ◽

D. A. Bosman

Keyword(s):

Case Report ◽

Sore Throat ◽

Cranial Nerve ◽

Jugular Vein ◽

Lemierre’S Syndrome ◽

Jugular Vein Thrombosis ◽

Vein Thrombosis ◽

Cranial Nerve Palsies ◽

Internal Jugular Vein Thrombosis ◽

Lemierre's Syndrome

Lemierre’s syndrome is a recognized but infrequently seen complication of acute oropharyngitis. In this case report the patient presented with acute sore throat that led to a bacteraemia with internal jugular vein thrombosis and subsequent cranial nerve palsies.

Download Full-text

Human Infection withFusobacterium necrophorumwithout Jugular Venous Thrombosis: A Varied Presentation of Lemierre’s Syndrome

Case Reports in Infectious Diseases ◽

10.1155/2017/5358095 ◽

2017 ◽

Vol 2017 ◽

pp. 1-3

Author(s):

Muhammad Asim Rana ◽

Yashwant Kumar ◽

Abdullah Ali Lashari ◽

Ahmed F. Mady

Keyword(s):

Nerve Palsy ◽

Jugular Vein ◽

Kidney Injury ◽

Severe Pneumonia ◽

Fusobacterium Necrophorum ◽

Human Infection ◽

Upper Respiratory Tract ◽

Lemierre’S Syndrome ◽

Upper Respiratory ◽

Lemierre's Syndrome

Lemierre’s syndrome is also known as postangina septicemia, which is commonly caused byFusobacterium necrophorumalso known as Necrobacillus and also by other microorganisms likeStaphylococcus,Streptococcus,Peptostreptococcus, andBacteroides. Though the disease starts as an upper respiratory tract infection, it may spread and cause thrombophlebitis of the internal jugular vein. It may present itself through cranial nerve palsy or sepsis involving distant organs like the lungs or bones. It is also known as forgotten disease because of its rarity.Fusobacterium necrophorumusually causes infection in animals and rarely affects humans. We hereby present a case of Necrobacillus infection which did not cause any thrombophlebitis but resulted in severe pneumonia and acute kidney injury, leading to respiratory failure and requiring mechanical ventilation.

Download Full-text