Surgical Treatment of Lemierre's Syndrome: A case report.
- Author:
Jung Hun OH
1
;
Jung Cheul LEE
;
Dong Hyup LEE
;
Jang Hoon LEE
;
Tae Eun JUNG
;
Sung Sae HAN
Author Information
1. Department of Thoracic & Cardiovascular Surgery, College of Medicine, Yeung Nam University, Korea. jclee@medical.yeungnam.ac.kr
- Publication Type:Case Report
- Keywords:
Lemierre's syndrome;
Jugular veins;
Thrombophlebitis
- MeSH:
Abscess;
Clindamycin;
Heparin;
Jugular Veins;
Lemierre Syndrome*;
Neck;
Pneumonia;
Thorax;
Thrombophlebitis;
Thrombosis;
Ventilators, Mechanical
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2001;34(8):644-647
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lemierre's syndrome is characterized by a rare fulminant condition resulting from primary oropharyngeal infection followed by secondary septic thrombophlebitis of the internal jugular vein and metastatic infection. A forty-year-old man who had been on ventilator due to severe chest trauma, showed severe reddish inflammatory swelling of the right cervical soft tissue and newly developed pneumonia. He went into in septic condition shortly thereafter. Thrombophlebitis with central abscess in the right internal jugular vein was identified by neck CT and MRA(magnetic resonance angiography). Right cervical swelling worsened in spite of clindamycin and heparin therapy. We performed immediate surgery for removal of septic thrombus and resection of internal jugular vein. Patient's septic condition, pneumonia, and local inflammatory reaction were improved within several days after surgery.
