Journal of Head & Neck Physicians and Surgeons

CASE REPORT
Year
: 2019  |  Volume : 7  |  Issue : 2  |  Page : 82--84

Lemierre's syndrome: A calamitous complication of oropharyngeal infection


Roopesh Yarappa, Sakshi Gagneja, Sourya Acharya, Shreya Gattani 
 Department of Medicine, Datta Meghe Institute of Medical Sciences (Deemed to be University), Jawaharlal Nehru Medical College, Wardha, Maharashtra, India

Correspondence Address:
Sourya Acharya
Department of Medicine, Datta Meghe Institute of Medical Sciences (Deemed to be University), Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha - 442 001, Maharashtra
India

Lemierre's syndrome is an infectious thrombophlebitis of internal jugular vein (IJV) which occurs rarely, as a complication of oropharyngeal infection. We report an unusual case of a 36-year-old healthy female who presented with high-grade fever with chills, sore throat, and diffuse swelling of the neck on the right side. Examination revealed pharyngitis with swelling on the neck on the right side with palpable submental and submandibular lymph nodes bilaterally. Local site ultrasonography revealed thrombosed right IJV with subcentimetric regional lymph nodal enlargement. She was started on prophylactic intravenous antibiotics and anticoagulants, awaiting blood culture report. A detailed workup was done to rule out occult malignancy, and autoimmune as well as thrombotic screening was also negative. The etiological agent could not be identified as blood cultures were negative; she had already received antibiotics prior to admission. She responded to treatment, and there were no metastatic complications. Though the syndrome is rare, it has severe manifestations and mortality can be reduced, if timely diagnosed and managed.


How to cite this article:
Yarappa R, Gagneja S, Acharya S, Gattani S. Lemierre's syndrome: A calamitous complication of oropharyngeal infection.J Head Neck Physicians Surg 2019;7:82-84


How to cite this URL:
Yarappa R, Gagneja S, Acharya S, Gattani S. Lemierre's syndrome: A calamitous complication of oropharyngeal infection. J Head Neck Physicians Surg [serial online] 2019 [cited 2021 Jan 28 ];7:82-84
Available from: https://www.jhnps.org/article.asp?issn=2347-8128;year=2019;volume=7;issue=2;spage=82;epage=84;aulast=Yarappa;type=0