title: Lemierre's Syndrome Associated Mycotic Aneurysm of the External Carotid Artery with Primary Internal Carotid Artery Occlusion in a Previously Healthy 18-Year-Old Female.
abstract: Lemierre's syndrome is a rare life-threatening condition characterized by internal jugular vein thrombosis and is typically associated with a gram-negative infection with septic metastasis secondary to a retropharyngeal abscess that involves the vasculature of the head and neck. We report a case of Lemierre's syndrome in an 18-year-old female adolescent who developed an internal carotid artery occlusion and ipsilateral external carotid artery (ECA) mycotic aneurysm complicated by fulminant pseudomonal sepsis. The patient was managed with open ligation of the ECA with essentially complete recovery.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, UT Southwestern Medical Center, Dallas, TX.
authors.forename: Khalil H
authors.initials: KH
authors.lastname: Chamseddin
authors.affiliation: Division of Vascular Surgery, Department of Surgery, UT Southwestern Medical Center, Dallas, TX. Electronic address: Melissa.Kirkwood@UTsouthwestern.edu.
authors.forename: Melissa L
authors.initials: ML
authors.lastname: Kirkwood
mesh_terms: D000293:Adolescent; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D002342:Carotid Artery, External / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000382:microbiology*; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D000072226:Computed Tomography Angiography; D005260:Female; D005675:Fusobacterium necrophorum / Q000302:isolation & purification*; D006801:Humans; D057831:Lemierre Syndrome / Q000150:complications / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D008026:Ligation; D012772:Shock, Septic / Q000382:microbiology; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures
chemical_list: D000900:Anti-Bacterial Agents