Lemierre's syndrome: post-anginal septicemia.
Lemierre's syndrome is an obscure entity with very significant related morbidity. We describe a typical case and a never before reported complication. Increased awareness of this condition is necessary, since it is given little consideration even when patients present with the very characteristic clinical picture. US will depict internal jugular vein (IJV) thrombosis in most cases and should be the modality of choice for the initial evaluation of suspected thrombosis of the IJVs. Associated demonstration of cavitary pulmonary nodules establishes the diagnosis of Lemierre's syndrome. Early recognition and institution of adequate antimicrobial therapy are key points in the successful management of this syndrome.
de Lima
Jose E
JE
Children's National Medical Center, The George Washington University, 111 Michigan Avenue, N.W., Washington DC 20010-2970, USA. drxrays@yahoo.com
Levin
Melanie
M
D000038:Abscess / Q000150:complications; D000293:Adolescent; D005674:Fusobacterium Infections / Q000150:complications*; D006801:Humans; D007601:Jugular Veins; D008297:Male; D010612:Pharyngitis / Q000150:complications*; D011655:Pulmonary Embolism / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography; D018805:Sepsis / Q000150:complications*; D013158:Splenic Diseases / Q000150:complications; D013577:Syndrome; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging