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Lemierre Syndrome – The forgotten disease

Carlos Eduardo Marcello, Elizabeth In Myung Kim, Luciana Andréa Avena Smeili, Leonardo Bianqui, Munir Bazzi


Acute pharyngitis is among the most common causes of demand for emergency
services. In general, they are benign, mostly of viral or bacterial etiology and
evolve without complications with appropriate therapy. Rarely the infection
extends deeply through the neck tissues generating serious suppurative
complications. Herein is reported a case of a 20-year-old young woman who
developed acute pharyngitis followed by left cervical bulging and cough with
bloody sputum. Chest radiography showed bilateral pulmonary infiltrate which
on thoracic computed tomography slices were represented by cavitary nodules
measuring up to 33 mm universally distributed on both lungs, predominantly on
peripheral location. Computed tomography of the neck with intravenous contrast
showed extensive thrombosis of the left internal jugular vein, from the base of
the skull to the distal third of the neck. Diagnosis of Lemierre Syndrome was
made and the patient was treated with a favorable outcome.


Lemierre Syndrome; Pharyngitis; Venous thrombosis; Lung abscess.

DOI: http://dx.doi.org/10.4322/acr.%25y.26068

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