International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

     
Case Report
 
Lemierre’s syndrome: A forgotten entity with a very rare presentation
Sailesh Kumar Bansiwal1, Prabal Rajvanshi2, Harshita Sharma1, Rajesh Manocha2
1Postgraduate student, Department of Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
2Professor, Department of Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

Article ID: Z01201710CR10842SB
doi:10.5348/ijcri-2017103-CR-10842

Address correspondence to:
Sailesh Kumar Bansiwal
Office of the Head of the Department, Department of Medicine
Vardhman Mahavir Medical College and Safdarjung Hospital
New Delhi
India

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How to cite this article
Bansiwal SK, Rajvanshi P, Sharma H, Manocha R. Lemierre’s syndrome: A forgotten entity with a very rare presentation. Int J Case Rep Images 2017;8(10):663–667.


ABSTRACT

Lemierre’s syndrome is a potentially lethal condition, which originates as a complication of an oropharyngeal infection which causes suppuration of lateral pharyngeal space, bacteremia, and thrombophlebitis of internal jugular vein (IJV) leading to distant septic emboli. This is a forgotten disease in modern era of antibiotic therapy though it has been reported with increasing frequency in 21st century. We present a case of 34-year-old female presented with fever, headache, neck pain, odynophagia, and hemoptysis, found to have thrombosis of IJV and internal carotid artery (ICA) on imaging which responded to antibiotics and anticoagulant therapy. A high index of suspicion is necessary for diagnosis and early treatment is life saving.

Keywords: Forgotten disease, ICA thrombosis, Lemierre’s syndrome, Septic thrombophlebitis of internal jugular vein



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Author Contributions
Sailesh Kumar Bansiwal – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Prabal Rajvanshi – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Harshita Sharma – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rajesh Manocha – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Sailesh Kumar Bansiwal et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


ABOUT THE AUTHORS

Sailesh Kumar Bansiwal is Postgraduate student at Department of Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, Guru Gobind Singh Indraprastha University, New Delhi, India. He earned undergraduate degree (Bachelor of Medicine and Bachelor of Surgery) from Pt. J.N.M. Medical College, Pt. Ravishankar Shukla University, Raipur C.G., India.

Prabal Rajvanshi is Professor at Department of Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, Guru Gobind Singh Indraprastha University, New Delhi, India.

Harshita Sharma is Postgraduate student at Department of Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, Guru Gobind Singh Indraprastha University, New Delhi, India. She earned undergraduate degree (Bachelor of Medicine and Bachelor of Surgery) from Vardhman Mahavir Medical College and Safdarjung Hospital, Guru Gobind Singh Indraprastha University, New Delhi, India.

Rajesh Manocha is Professor at Department of Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, Guru Gobind Singh Indraprastha University, New Delhi, India.





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