Related Experiment Video
Updated: Jun 3, 2026
10:45
Deep Dermal Injection As a Model of Candida albicans Skin Infection for Histological Analyses
Published on: June 13, 2018
Internal jugular thrombophlebitis caused by dermal infection.
Hisao Yoshikawa1, Makoto Suzuki, Naohiko Nemoto
1Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Japan. hisao_yskw@yahoo.co.jp
Internal Medicine (Tokyo, Japan)
|March 5, 2011
Summary
A rare case of juvenile idiopathic thrombophlebitis mimicking Lemierre syndrome was diagnosed in a patient with a neck infection. Prompt treatment with a filter, anticoagulants, and antibiotics led to remission.
Area of Science:
- Vascular Medicine
- Infectious Diseases
- Dermatology
Background:
- Lemierre syndrome is a rare but serious complication of oropharyngeal infections.
- Thrombophlebitis, or inflammation of a vein with a clot, can occur in various locations.
- Dermal infections can sometimes lead to systemic complications.
Observation:
- A 29-year-old man presented with fever, neck pain, itching, and swelling secondary to a dermal infection.
- Magnetic Resonance Imaging (MRI) revealed internal jugular vein thrombosis.
- Neck ultrasonography confirmed an extensive thrombus from the internal jugular to the brachiocephalic vein.
Findings:
- Blood analysis showed a significant inflammatory response.
- The patient was diagnosed with juvenile idiopathic thrombophlebitis, mimicking Lemierre syndrome.
- A superior vena cava filter was placed, followed by anticoagulant and antibiotic therapy.
Implications:
- This case highlights a rare presentation of thrombophlebitis secondary to a dermal infection.
- It underscores the importance of considering thrombophlebitis in patients with severe neck infections and inflammatory markers.
- Early diagnosis and multidisciplinary management are crucial for favorable outcomes in such rare conditions.
Related Concept Videos
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:30Venous Thrombosis I: Introduction
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
01:25Endocarditis II: Clinical Features of Infective Endocarditis
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
01:19Veins of Head and Neck
The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
01:25Endocarditis I: Introduction
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...