title: Lemierre syndrome with blepharoptosis.
abstract: A 51-year-old woman was hospitalized with a high fever, occipital pain, blepharoptosis, and trismus. Enhanced CT showed thrombophlebitis of her left cavernous sinus, maxillary vein, and multiple pulmonary nodular lesions. (18)F-FDG PET/CT showed significant uptakes in the same lesions. Streptococcus constellatus was detected in her blood. Therefore, she was diagnosed as a Lemierre syndrome variant. After administration of antibiotics, all symptoms, inflammatory reactions, and thrombi disappeared. Since Lemierre syndrome has life-threatening potential, early diagnosis and initiation of appropriate therapy are important. In this case, (18)F-FDG PET/CT was useful to detect the focus and extent of infection.
authors.affiliation: Department of Internal Medicine, Toyonaka Municipal Hospital.
authors.forename: Megu
authors.initials: M
authors.lastname: Yamaguchi
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Nishizawa
authors.forename: Taku
authors.initials: T
authors.lastname: Yasumoto
authors.forename: Takekazu
authors.initials: T
authors.lastname: Kimura
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Takeuchi
authors.forename: Akinori
authors.initials: A
authors.lastname: Takeshita
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Takase
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Fujimoto
authors.forename: Misa
authors.initials: M
authors.lastname: Nakano
authors.forename: Megumu
authors.initials: M
authors.lastname: Fukunaga
mesh_terms: D001763:Blepharoptosis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D013290:Streptococcal Infections / Q000150:complications / Q000175:diagnosis*; D034365:Streptococcus constellatus; D013577:Syndrome