A Case of Lemierre's Syndrome, Misdiagnosed as a Simple Deep Neck Infection on Initial Ultrasonography Followed by an Abscess Aspiration Trial
10.21593/kjhno/2019.35.2.31
- Author:
Dong Yun LEE
1
;
Sang Bin KIM
;
Myung Jin BAN
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea. mjbanent@gmail.com
- Publication Type:Case Report
- Keywords:
Lemierre's syndrome;
Internal jugular vein;
Thrombophlebitis;
Ultrasonography guided aspiration
- MeSH:
Abscess;
Anti-Bacterial Agents;
Diagnosis;
Head;
Humans;
Jugular Veins;
Lemierre Syndrome;
Middle Aged;
Neck;
Rare Diseases;
Sepsis;
Thrombophlebitis;
Thrombosis;
Tomography, X-Ray Computed;
Ultrasonography
- From:
Korean Journal of Head and Neck Oncology
2019;35(2):31-34
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lemierre's syndrome is rare disease characterized by anaerobic sepsis, internal jugular vein thrombosis, septic emboli that resulted from head and neck infection. Lemierre's syndrome has significant morbidity, so immediate, accurate diagnosis and treatment is needed. It is necessary to perform contrast-enhanced computed tomography (CT) for diagnosis. Systemic antibiotics is recommended, and surgical interventions, anticoagulation may beis considered for treatment. We report misdiagnosed case as a simple deep neck infection on initial ultrasonography with simultaneous abscess aspiration but finally diagnosed and treated internal jugular vein thrombophlebitis (Lemierre's syndrome) on CT scan.We report a case of a 45-year-old patient, who was diagnosed with a simple deep neck infection and treated with simultaneous abscess aspiration, but finally diagnosed and treated internal jugular vein thrombophlebitis (Lemierre's syndrome) on CT scan.
