- Author:
Young A BAE
1
;
In Jae LEE
;
Hyun Beom KIM
;
Myung Sun HONG
;
Kwanseop LEE
;
Yul LEE
;
Sang Hoon BAE
Author Information
- Publication Type:Case Report
- Keywords: Thorax, CT; Lung, infection; Veins, thrombosis
- MeSH: Adolescent; Humans; Jugular Veins; Lemierre Syndrome*; Lung; Neck; Pulmonary Embolism; Radiography, Thoracic; Rare Diseases; Thrombosis; Tomography, X-Ray Computed; Ultrasonography
- From:Journal of the Korean Radiological Society 2006;54(1):7-10
- CountryRepublic of Korea
- Language:English
- Abstract: Lemierre syndrome is a rare disease characterized by internal jugular vein thrombosis and septic emboli, and it primarily occurs in healthy young individuals; this disease usually follows an acute oropharyngeal infection. To the best of our knowledge, only a few reports about this disease have appeared in the radiologic literature. We report here the radiologic findings of a case of Lemierre syndrome in a young healthy female adolescent who had a history of acute pharyngotonsilitis. Chest radiographs showed lung nodules that displayed cavitary changes with rapid progression on the serial studies. High-resolution CT scan showed multi-focal patchy consolidations that connect with vessels, and this was suggestive of septic pulmonary embolism. Ultrasonography and CT scan of the neck revealed right internal jugular vein thrombosis.