title: Postanginal septicaemia with external jugular venous thrombosis: case report.
abstract: Postanginal septicaemia is a syndrome of anaerobic septicaemia, septic thrombophlebitis of the internal jugular vein, and metastatic infections, that follows a localized infection in the area drained by the large cervical veins. The syndrome was well-known and often fatal in the preantibiotic era. It is now rather rare, presumably as a result of the almost routine use of prophylactic antibiotics. The symptoms are classic, and it should be suspected in any case where septicaemia and metastatic lesions are preceded by a head and neck infection. We report a case that is typical, except that branches of the external jugular vein were thrombosed. To our knowledge this has not been reported previously.
authors.affiliation: University of California and Southern California Permanente Medical Group, Los Angeles, USA.
authors.forename: H C
authors.initials: HC
authors.lastname: Schwartz
authors.forename: D C
authors.initials: DC
authors.lastname: Nguyen
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002637:Chest Pain / Q000209:etiology; D005491:Focal Infection, Dental / Q000382:microbiology; D006801:Humans; D007601:Jugular Veins; D007710:Klebsiella Infections / Q000188:drug therapy; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000382:microbiology; D009334:Neck Muscles / Q000382:microbiology; D010508:Periodontal Abscess / Q000150:complications* / Q000382:microbiology; D012141:Respiratory Tract Infections / Q000209:etiology* / Q000382:microbiology; D018805:Sepsis / Q000209:etiology* / Q000382:microbiology; D013577:Syndrome; D013924:Thrombophlebitis / Q000209:etiology* / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents