J Korean Soc Emerg Med.  2010 Dec;21(6):901-905.

A Case of Lemierre Syndrome as a Cause of Revisiting the Emergency Department

• Kang TK

Abstract

Lemierre syndrome is a rare, but potentially life-threatening complication of oropharyngeal infection. This syndrome is characterized by oropharyngeal infection leading to internal jugular vein thrombosis and multiple pulmonary septic emboli. It is commonly caused by an anaerobic pathogen such as Fusobacterium necrophorum. Early diagnosis and appropriate antibiotic treatment make a world of difference in preventing fatal outcomes. Here we present the case of a 25-year-old man with acute tonsillitis that was complicated with Lemierre syndrome. Emergency physicians should consider the possibility of Lemierre syndrome in young patients with initial oropharyngeal infection with neck swelling and pulmonary symptoms.

Keyword

Lemierre syndrome; Thrombophlebitis; Tonsillitis

MeSH Terms

Adult
Early Diagnosis
Emergencies
Fatal Outcome
Fusobacterium necrophorum
Humans
Jugular Veins
Lemierre Syndrome
Neck
Palatine Tonsil
Thrombophlebitis
Thrombosis
Tonsillitis