Lemierre Syndrome Complicating Pharyngotonsilitis in a Young Male: A Case Report

Abstract

Lemierre syndrome is a very rare complication of head and neck infections. We present a case report on a healthy young male who developed unremitting fever, marked leucocytosis, multiple pulmonary consolidation, and internal jugular vein thrombosis in the setting of a pharyngotonsilitis. The atypicality of the presentation is emphasized, diagnostic and therapeutic considerations and complications are discussed. This report makes the case for entertaining a diagnosis of Lemierre syndrome complicating antecedent head and neck space infection especially when presentation is atypical or response to conventional care is suboptimal.




J Med Cases. 2013;4(11):705-709
doi: https://doi.org/10.4021/jmc1448w