Lemierre's Syndrome without Internal Jugular Vein Thrombophlebitis: A Diagnostic Conundrum

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.

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A Case of Lemierre Syndrome Secondary to Otitis Media and Mastoiditis

Case Reports in Emergency Medicine ◽

10.1155/2014/208960 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Aynur Turan ◽

Harun Cam ◽

Yeliz Dadali ◽

Serdar Korkmaz ◽

Ali Özdek ◽

...

Keyword(s):

Otitis Media ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Anaerobic Bacteria ◽

Transverse Sinus ◽

Lemierre’S Syndrome ◽

Lemierre Syndrome ◽

Mortality And Morbidity ◽

Oropharyngeal Infection ◽

Lemierre's Syndrome

Lemierre’s syndrome is a rare clinical condition that generally develops secondary to oropharyngeal infection caused byFusobacterium necrophorum, which is an anaerobic bacteria. A 62-year-old patient with diabetes mellitus presented with internal jugular vein and sigmoid sinus-transverse sinus thrombophlebitis, accompanying otitis media and mastoiditis that developed after an upper airway infection. Interestingly, there were air bubbles in both the internal jugular vein and transverse sinus. Vancomycin and meropenem were started and a right radical mastoidectomy was performed. The patient’s clinical picture completely resolved in 14 days. High mortality and morbidity may be prevented with a prompt diagnosis of Lemierre’s syndrome.

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Unusual case of Lemierre’s syndrome

BMJ Case Reports ◽

10.1136/bcr-2018-226948 ◽

2018 ◽

Vol 11 (1) ◽

pp. e226948 ◽

Cited By ~ 1

Author(s):

Issrah I Jawad ◽

Arjun Chandna ◽

Stephen Morris-Jones ◽

Sarah Logan

Keyword(s):

Internal Jugular Vein ◽

Unusual Case ◽

Jugular Vein ◽

Lemierre’S Syndrome ◽

Jugular Vein Thrombosis ◽

Vein Thrombosis ◽

Campylobacter Rectus ◽

Lemierre's Syndrome ◽

Supportive Management ◽

Rare Diagnosis

A young previously healthy patient presented with sepsis and cavitating pneumonia. Campylobacter rectus was isolated from blood cultures and subsequent CT neck showed an internal jugular vein thrombosis. Treatment was with antibiotics, anticoagulation and supportive management. Lemierre’s syndrome is an infectious thrombophlebitis of the internal jugular vein. Although a rare diagnosis since the use of penicillin for treatment of acute pharyngitis, it is being reported with increasing frequency. Usually associated with Fusobacterium spp, we believe that this is the first reported case of Lemierre’s caused by C. rectus—an anaerobic member of the human oral cavity flora, usually associated with localised periodontal disease. The bacillus was isolated from blood during the acute presentation.

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Variant of Lemierre’s syndrome with internal jugular vein aneurysm

BMJ Case Reports ◽

10.1136/bcr-2017-223371 ◽

2017 ◽

pp. bcr-2017-223371 ◽

Cited By ~ 1

Author(s):

Siew Houy Chua ◽

Sidney Ching Liang Ong ◽

Yuan Hwen Liew

Keyword(s):

Internal Jugular Vein ◽

Jugular Vein ◽

Lemierre’S Syndrome ◽

Lemierre's Syndrome

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Lemierre’s syndrome with cavernous sinus thrombosis caused by dental infection

BMJ Case Reports ◽

10.1136/bcr-2020-238521 ◽

2021 ◽

Vol 14 (3) ◽

pp. e238521

Author(s):

Peerawat Sukkul ◽

Narongrit Kasemsap

Keyword(s):

Internal Jugular Vein ◽

Cavernous Sinus ◽

Jugular Vein ◽

Sinus Thrombosis ◽

Cavernous Sinus Thrombosis ◽

Lemierre’S Syndrome ◽

Jugular Vein Thrombosis ◽

Septic Emboli ◽

Cavernous Sinus Syndrome ◽

Lemierre's Syndrome

Lemierre’s syndrome is a rare multisystemic infection beginning in oropharynx commonly caused by oral anaerobic organisms and leading to internal jugular vein thrombosis with septic emboli. Here, we describe a 45-year-old woman with hypertension and unrecognised type 2 diabetes who presented to a community hospital with fever, double vision and septic shock. Examination showed neck pain aggravated by neck flexion, limited ocular movement of right lateral rectus, left medial rectus and left superior oblique and incomplete ptosis of the left eye. These symptoms were suggestive of bilateral cavernous sinus syndrome. CT of the brain showed bilateral proximal internal jugular vein and cavernous sinus thrombosis. CT angiography revealed septic emboli at both upper lungs. The patient had good improvement of neurological symptoms after dental extraction, intravenous antibiotic and anticoagulant.

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