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J Korean Soc Emerg Med > Volume 24(2); 2013 > Article
Journal of The Korean Society of Emergency Medicine 2013;24(2): 236-240.
A Case of Lemierre Syndrome
Yong In Kim, Sang Kyoon Han, Sung Wook Park, Moon Gi Min, Maeng Real Park
1Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea. 98hansoft@hanmail.net
2Department of Emergency Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.
Lemierre syndrome is a rare syndrome caused by an acute pharyngitis with secondary septic thrombophlebitis of the internal jugular vein and metastatic infections. Although mortality from Lemierre syndrome is low, it remains a potentially life-threatening disease that requires careful consideration, as its early diagnosis and treatment is essential to prevent metastatic infection. We report a case of a 19-year-old woman who presented with a sore throat and right upper quadrant pain. Abdominal and pelvic computerized tomography (CT) showed acalculous cholecystitis with hepatosplenomegaly. The chest CT showed septic emboli in both lung fields and the neck CT revealed thrombosis in the left internal jugular vein. The patient was treated with antibiotics. After nine days, the chest CT showed a further increase in the size of the septic embolism and the patient was treated with anticoagulants. After 23 days, the size of septic emboli in the lung significantly decreased and the patient was discharged.
Key words: Lemierre Syndrome, Thrombophlebitis, Pharyngitis
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