J Korean Soc Emerg Med.  2014 Aug;25(4):489-494. 10.0000/jksem.2014.25.4.489.

A Case of Lemierre's Syndrome in Young Patient with Acute Peritonsillar Abscess

Affiliations
  • 1Department of Internal Medicine, Mokpo Jung-ang General Hospital, Mokpo, Korea. hsi98@daum.net

Abstract

Lemierre's syndrome is very rare and is characterized by previous oropharyngeal infections, such as pharyngitis or peritonsillar abscess, leading to high fever, internal jugular venous thrombosis, and metastatic infections to multiple internal organs. Prompt and accurate diagnosis followed by early treatment with antibiotics is very important because its mortality is high if treatment is delayed. We report on the case of a 23-year-old female who was transferred to our hospital with a left peritonsillar abscess combined with left jugular venous thrombosis, complaining of a sore throat and left submandibular swelling, and diagnosed as Lemierre's syndrome. Finally, she was treated successfully without anticoagulants.

Keyword

Lemierre syndrome; Peritonsillar abscess; Jugular venous thrombosis; Metastatic infections

MeSH Terms

Anti-Bacterial Agents
Anticoagulants
Diagnosis
Female
Fever
Humans
Lemierre Syndrome*
Mortality
Peritonsillar Abscess*
Pharyngitis
Venous Thrombosis
Young Adult
Anti-Bacterial Agents
Anticoagulants
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