Lemierre’s syndrome: A persistent unusual neck pain and swelling

Lemierre’s syndrome is a systemic complication commonly caused by oropharyngeal infection byFusobacterium species, which manifests itself as an internal jugular vein thrombosis formation.It is a rare occurrence nowadays with the availability of broad spectrum antibiotics for treatment.Most cases in the literature presented with a life-threatening condition. We are reporting a case ofLemierre’s syndrome that presented with persistent neck pain and swelling, initially diagnosed ascervical lymphadenitis.

Lemierre syndrome caused by Staphylococcus aureus:one case report / 临床儿科杂志

Objectives To analyze the clinical features, diagnosis and treatment of Lemierre syndrome. Methods The clinical data of one case of Lemierre syndrome were retrospectively analyzed. The relevant literatures were reviewed. Results The primary infection of the patient was oral infection, and jugular vein thrombosis and metastatic lung abscess were followed. The blood culture showed that Staphylococcus aureus was positive. Lemierre syndrome was diagnosed. After anticoagulation and anti-infection treatment, the symptoms were improved. Conclusion Lemierre syndrome should be considered in present of jugular vein thrombosis and pulmonary abscess caused by infection.

Internal Jugular Vein Thrombosis Presenting with Elevated Intraocular Pressure

PURPOSE: To report a case of elevated intraocular pressure (IOP) caused by internal jugular vein thrombosis. CASE SUMMARY: A 58-year-old male diagnosed with diabetic retinopathy visited our clinic for a regular checkup. On ophthalmic examination, IOP was 30 mm Hg in the right eye and 28 mm Hg in the left eye. Slit lamp examination showed chemosis, conjunctival injection and slight corneal edema in both eyes. Additionally, gonioscopic examination showed open angle. We observed face edema that started 1 month prior and he was diagnosed with internal jugular vein thrombosis on the right side, internal jugular vein and innominate vein stenosis on the left side approximately 2 months ago. The patient underwent percutanoeus transluminal angioplasty for dilating stenosed vessel. Four days after the procedure, his IOP was 15 mm Hg in the right eye and 12 mm Hg in the left eye based on Goldman applanation tonometer and was well maintained. CONCLUSIONS: Internal jugular vein thrombosis on both sides can cause an increase in IOP.

Lemierre syndrome from a neck abscess due to methicillin-resistant Staphylococcus aureus

Lemierre syndrome is characterized by acute septic thrombophlebitis of the internal jugular vein (IJV) that develops after an oropharyngeal infection, and can be complicated by septic emboli to lungs and other organs. The most frequent causative agent is Fusobacterium necrophorum, an anaerobic bacillus found in normal oropharyngeal flora. Staphylococcus aureus has emerged as a cause of Lemierre syndrome in the last decade. We report a case of a 24-year-old man who developed septic IJV thrombosis and necrotizing pneumonia due to S. aureus from an infected hematoma in the right sternocleidomastoid muscle. Antibiotics are the mainstay of therapy with few cases needing anticoagulation. A good outcome is dependent upon an awareness of the condition, a high index of suspicion, and prompt initiation of antibiotic therapy. Recognition of S. aureus as a cause of Lemierre syndrome can guide the choice of initial antibiotics to cover this virulent pathogen.

Right Internal Jugular Venous Thrombosis Occurred after Long-term Placement of Hemodialysis Catheter Inserted Via Right Subclavian Vein: A Case Report / 대한구급학회지

Central venous catheter-related venous thrombosis is one of the most important complications occurred after central venous catheterization. Forty six year old man had end-stage renal failure due to diabetes mellitus. Temporary hemodialysis catheter was inserted via right subclavian vein. Thirty days after hemodialysis catheter insertion, the patient presented with right neck swelling and difficulty to aspirate blood from hemodialysis catheter. Venography showed right internal jugular vein thrombosis. We report a case in which a patient developed right internal jugular vein thrombosis after long-term placement of temporary hemodialysis catheter.