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Lemierre syndrome is an uncommon disease most often associated with infections. We present a case of Lemierre syndrome associated with infection with pulmonary abscess, septic emboli and empyema requiring chest tube drainage and intrapleural fibrinolytic therapy. Our case highlights as an uncommon cause of Lemierre syndrome as well as the challenges in treating complications of such infections.
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http://dx.doi.org/10.1136/bcr-2025-265839 | DOI Listing |
Lemierre's syndrome (LS), otherwise known as postanginal sepsis, is a frequently overlooked condition characterized by septic thrombophlebitis of the internal jugular vein (IJV), usually caused by oropharyngeal infection. However, ear space (otogenic) infections are one of the atypical causes of LS and have been rarely reported. We present a case of a male in his 20s with a history of recurrent acute otitis media (RAOM) who presented with purulent ear discharge, fever, neck pain, and swelling for a week.
View Article and Find Full Text PDFZhonghua Nei Ke Za Zhi
September 2025
Department of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China.
Am J Med
August 2025
Division of Respiratory and Critical Care Medicine, Department of Medicine, National University Hospital, Singapore.
BMJ Case Rep
August 2025
Department of Medicine, Division of Respirology, McMaster University, Hamilton, Ontario, Canada.
Lemierre syndrome is an uncommon disease most often associated with infections. We present a case of Lemierre syndrome associated with infection with pulmonary abscess, septic emboli and empyema requiring chest tube drainage and intrapleural fibrinolytic therapy. Our case highlights as an uncommon cause of Lemierre syndrome as well as the challenges in treating complications of such infections.
View Article and Find Full Text PDFCase Rep Infect Dis
August 2025
Department of Internal Medicine, Henry Ford Hospital, Detroit, Michigan, USA.
Lemierre's syndrome is an uncommon yet potentially fatal infection, classically secondary to bacterial pharyngeal infections. It is typically characterized by bacteremia, most frequently due to and internal jugular vein thrombophlebitis. If untreated, septic embolization may result, potentially damaging the lungs, liver, brain, or other organs.
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