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Updated: Jun 13, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
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Published on: July 8, 2025

Lemierre syndrome with blepharoptosis.

Megu Yamaguchi1, Hitoshi Nishizawa, Taku Yasumoto

  • 1Department of Internal Medicine, Toyonaka Municipal Hospital.

Internal Medicine (Tokyo, Japan)
|April 29, 2010
PubMed
Summary

Lemierre syndrome, a serious bacterial infection, was diagnosed in a woman with fever and facial pain. (18)F-FDG PET/CT imaging proved crucial for detecting the infection's extent, enabling prompt antibiotic treatment.

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Area of Science:

  • Medical Imaging
  • Infectious Diseases
  • Vascular Medicine

Background:

  • Lemierre syndrome is a rare but potentially fatal condition characterized by thrombophlebitis of the head and neck veins.
  • Early diagnosis and treatment are critical for patient outcomes.

Observation:

  • A 51-year-old woman presented with fever, occipital pain, blepharoptosis, and trismus.
  • Enhanced CT revealed thrombophlebitis in the cavernous sinus, maxillary vein, and pulmonary lesions.
  • (18)F-FDG PET/CT demonstrated significant uptake in these infected areas.

Findings:

  • Blood cultures identified Streptococcus constellatus as the causative agent.
  • The patient was diagnosed with a variant of Lemierre syndrome.
  • Antibiotic therapy led to the resolution of symptoms, inflammation, and thrombi.

Implications:

  • This case highlights the utility of (18)F-FDG PET/CT in diagnosing Lemierre syndrome variants.
  • Prompt diagnosis and aggressive antibiotic treatment are essential for managing this life-threatening infection.
  • The findings underscore the importance of considering advanced imaging in complex infectious cases.