Facial Cellulitis and Thrombosis With Pulmonary Septic Emboli Mimicking Lemierres Syndrome

Sabrina Arshed, Mohammad Amir Hossain, Soaud Enakuaa, Sunil Tulpule, Qiang Nai, Mohammed Osman, Rafay Khan, Nazar Raoof, John Middleton, Purendu Sen, Abdalla Yousif


Lemierres syndrome is characterized by thrombophlebitis of the internal jugular vein and bacteremia, typically caused by anerobic microorganisms following a recent pharyngeal infection, first described by Andre Lemierre as a clinical finding of anerobic post-anginal sepsis in 1936. Diagnosis is made by identifying thrombosis of the internal jugular vein; although variants of the disease with facial vein thrombosis have been reported, in addition to positive anerobic blood cultures, the most common causative organism remains <i>Fusobacterium necrophorum</i>. The mainstay of treatment remains prolonged antibiotic therapy.

J Med Cases. 2016;7(3):87-89
doi: https://doi.org/10.14740/jmc2422w


Lemierre’s syndrome; Facial vein thrombus; Septic emboli; Atypical presentation

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