Lemierre syndrome with blepharoptosis.
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.
Yamaguchi
Megu
M
Department of Internal Medicine, Toyonaka Municipal Hospital.
Nishizawa
Hitoshi
H
Yasumoto
Taku
T
Kimura
Takekazu
T
Takeuchi
Yasuo
Y
Takeshita
Akinori
A
Takase
Toshiyuki
T
Fujimoto
Hiroaki
H
Nakano
Misa
M
Fukunaga
Megumu
M
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