A Case of Postanginal Internal Jugular Vein Thrombosis and Pulmonary Septic Emboli

  • Masashi Ohe JCHO Hokkaido Hospital
  • Haruki Shida JCHO Hokkaido Hospital
  • Tetsuya Horita JCHO Hokkaido Hospital
  • Ken Furuya JCHO Hokkaido Hospital
Keywords: Jugular vein, thrombosis, pulmonary septic emboli, Lemierre’s syndrome

Abstract

A 64-year-old woman was admitted to our hospital with a 10-days history of sore throat, fever and a 3-days history of painful left neck mass. She had been treated with Cefixime, owing to complains of sore throat and fever at another primary clinic. Her throat examination showed mild erythema. A painful neck mass on the left side was observed. Laboratory findings were as follows: white blood cell count, 11,220/L; and C-reactive protein, 16.9 mg/dL. No organism was isolated from blood culture. Enhanced cervical computed tomography (CT) revealed enlargement of the left internal jugular vein, in which hypodense lesions compatible with thrombosis could be seen. High-resolution chest CT revealed patchy opacities compatible with pulmonary septic emboli. Although septicemia was not demonstrated in blood culture, probably because she was already taking antibiotics, the patient was diagnosed with Lemierre’s syndrome.

Author Biographies

Masashi Ohe, JCHO Hokkaido Hospital
Department of Internal Medicine
Haruki Shida, JCHO Hokkaido Hospital
Department of Internal Medicine
Tetsuya Horita, JCHO Hokkaido Hospital
Department of Internal Medicine
Ken Furuya, JCHO Hokkaido Hospital
Department of Internal Medicine

References

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Syed MI, Baring D, Addidle M, Murray C, Adams C. Lemierre syndrome: two cases and a review. Laryngoscope 2007;117:1605-10.

Riordan T. Human infection with Fusobacterium necrophorum (necrobacillosis) with a focus on Lemierre’s syndrome. Clinical Microbiol Rev 2007;20:622-59.

Seo YT, Kim MJ, Kim JH, Ha BW, Choi HS, Kim YT, et al. Lemierre syndrome: A Case of Postanginal Sepsis. Korean J Intern Med 2007;22:211-4.

Published
2019-06-21
Section
Editorial Note