Korean J Head Neck Oncol.  2019 Nov;35(2):31-34. 10.21593/kjhno/2019.35.2.31.

A Case of Lemierre's Syndrome, Misdiagnosed as a Simple Deep Neck Infection on Initial Ultrasonography Followed by an Abscess Aspiration Trial

• Lee DY
• Kim SB
• Ban MJ

• KMID: 2469232
• DOI: http://doi.org/10.21593/kjhno/2019.35.2.31

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.

Keyword

Lemierre's syndrome; Internal jugular vein; Thrombophlebitis; Ultrasonography guided aspiration

MeSH Terms

Abscess*
Anti-Bacterial Agents
Diagnosis
Head
Humans
Jugular Veins
Lemierre Syndrome*
Middle Aged
Neck*
Rare Diseases
Sepsis
Thrombophlebitis
Thrombosis
Tomography, X-Ray Computed
Ultrasonography*
Anti-Bacterial Agents