Lemierre syndrome

Case contributed by Stefan Tigges

Presentation

Left neck cellulitis

Patient Data

Age: 20 years
Gender: Male
CT

Multifocal left neck infection with loculated fluid collections extending from the peritonsillar and retropharyngeal spaces to the thyroid cartilage. Thrombosis left internal jugular vein. Multiple necrotic/cavitary pulmonary nodules likely represent septic emboli.

Case Discussion

Thrombophlebitis of the internal jugular vein due to adjacent oropharyngeal infection with bacterial seeding of distant structures, in this case, the lung, is characteristic of Lemierre syndrome.

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