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Lemierre syndrome and acute mastoiditis
R J Stokroos1, J J Manni, J R de Kruijk
1Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital Maastricht, The Netherlands. R.STOKROOS@KNO.AZM.NL
Archives of Otolaryngology--Head & Neck Surgery
|May 18, 1999
Summary
Lemierre syndrome, a rare septic internal jugular vein thrombosis, typically follows throat infections. This case highlights its occurrence after acute mastoiditis, emphasizing early diagnosis for better outcomes.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Vascular Surgery
Background:
- Lemierre syndrome, often termed 'forgotten fever,' is a rare but serious condition characterized by septic thrombophlebitis of the internal jugular vein.
- It classically arises secondary to oropharyngeal infections, leading to bacteremia and distant metastatic infections, particularly in the lungs.
Observation:
- This report details a unique case of Lemierre syndrome complicating acute mastoiditis, an infection of the middle ear.
- The patient presented with symptoms indicative of internal jugular vein thrombosis and subsequent septic emboli.
Findings:
- The case demonstrates that acute mastoiditis, though less common than pharyngotonsillitis, can be a precursor to Lemierre syndrome.
- Diagnostic and management considerations for this rare presentation are discussed, focusing on pathogenesis and treatment strategies.
Implications:
- Increased awareness of Lemierre syndrome's potential origins, including otologic infections like mastoiditis, is crucial for timely diagnosis.
- Early recognition and intervention in Lemierre syndrome can significantly mitigate severe morbidity and mortality risks.