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Lemierre's Syndrome (LS) Complicated by Cranial Nerve XII Palsy
Solabomi O Ojeniyi1, Francis Ibukun1, Philip Kanemo2
1Internal Medicine, MedStar Union Memorial Hospital, Baltimore, USA.
Cureus
|May 30, 2023
Summary
Lemierre
Area of Science:
- Otolaryngology
- Infectious Diseases
- Neurology
Background:
- Lemierre's syndrome (LS) is a rare but serious complication of oropharyngeal infections.
- It typically involves septic thrombophlebitis of the internal jugular vein.
- Central nervous system (CNS) involvement is infrequently reported in LS.
Observation:
- A 34-year-old woman presented with symptoms of sore throat, difficulty swallowing, and neck pain.
- CT imaging revealed a ruptured peritonsillar abscess and internal jugular vein thrombophlebitis.
- The patient was diagnosed with Lemierre's syndrome.
Findings:
- The patient was treated with intravenous antibiotics and anticoagulation.
- Despite initial management, she developed cranial nerve XII palsy.
- This represents an extremely rare neurological complication of Lemierre's syndrome.
Implications:
- This case highlights the potential for rare neurological manifestations in Lemierre's syndrome.
- Early recognition and aggressive management of LS are crucial.
- Further research may elucidate the mechanisms of CNS involvement in LS.
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