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Lemierre's syndrome or re-emerging disease: Case report and literature review
Kaoutar Chaker1, Omar Berrada1, Mouna Lyoubi1
1ENT and Head and Neck Surgery, Hospital August 20, 1953, Ibn Rochd Teaching Hospital, Casablanca, Morocco.
Introduction:
Lemierre's syndrome is a rare and potentially fatal entity characterized by the spread of an oropharyngeal infection, with secondary suppurative thrombophlebitis of the internal jugular vein and septic emboli.
Presentation Of Case:
We discuss the case of a 52-year-old male who developed Lemierre's syndrome following peritonsillar abscess. He presented with submandibular and submental swelling extending into the neck. His management included; incision and drainage of the abscesses; and prolonged anticoagulant therapy.
Conclusion:
The incidence of Lemierre's disease appears to be increasing, perhaps due to ignorance of the disease by many clinicians, and diagnosis is often delayed with potentially fatal consequences.
Insights
Lemierre's syndrome, a serious condition involving internal jugular vein thrombophlebitis, can arise from throat infections. Prompt diagnosis and treatment, including drainage and anticoagulation, are crucial for managing this potentially fatal disease.
Area of Science:
- Infectious Diseases
- Vascular Surgery
- Otolaryngology
Background:
- Lemierre's syndrome is a rare but life-threatening condition originating from oropharyngeal infections.
- It involves suppurative thrombophlebitis of the internal jugular vein and potential septic emboli.
- The incidence of Lemierre's disease may be rising due to delayed diagnosis.
