A Case of Lemierre Syndrome Manifests with Persistent Fever and Neck Stiffness Following Acute Oropharyngeal Infection.
10.14776/piv.2016.23.2.143
- Author:
Yena LEE
1
;
Ye Seul HONG
;
Sung Soo KIM
Author Information
1. Department of Pediatrics, Soonchunhyang University Hospital, Gumi, Korea. schroot@hanmail.net
- Publication Type:Case Report
- Keywords:
Lemierre syndrome;
Thrombophlebitis
- MeSH:
Adolescent;
Anti-Bacterial Agents;
Diagnosis;
Fever*;
Humans;
Jugular Veins;
Lemierre Syndrome*;
Neck*;
Penicillins;
Rare Diseases;
Thrombophlebitis;
Thrombosis;
Ultrasonography
- From:Pediatric Infection & Vaccine
2016;23(2):143-148
- CountryRepublic of Korea
- Language:English
-
Abstract:
Lemierre syndrome is a rare disease involving multiple organs affected by septic emboli following oropharyngeal infection. After the introduction of penicillin in the 1940s, it became a "forgotten" disease. However, due to the development of diagnostic image modalities including neck computed tomography (CT) scan, the number of published reports of Lemierre syndrome and diagnosis has been increasing since the 1990s. In this report, we describe a case of Lemierre syndrome, following oropharyngeal infection in a 16-year-old patient, who manifested with persistent fever and neck stiffness. Neck ultrasonography confirmed thrombus formation in the right internal jugular vein without definite evidence of septic emboli to other organs. After the three-week-long antibiotics therapy was completed, the thrombus in the right internal jugular vein finally disappeared.
