Lemierre’s Syndrome: An Unfortunate Sequela

Abstract

A 17-year-old male with no known comorbidity complained of odynophagia for the duration of two weeks. Hiscondition progressively worsened during the last four days, wherein he experienced fever with chills and rigors. Hedenied presence of any symptoms of dyspnea, dysphagia, voice changes, neck swelling, or limited neck movement. The patient appeared severely ill and poorlyhydrated at the time of presentation. Oraland neck movements were observed to befunctioning normally. Examination of oralcavity revealed inflamed tonsils of Brodskygrade 2 with medialization of the soft palatetowards the left side. Neck palpation elicitedtenderness along the anterior border ofthe left sternocleidomastoid muscle. Whiteblood cell count and C-reactive protein lev els were markedly elevated at 17.58×109/Land 15.55 mg/dL, respectively. Contrast enhanced computed tomography of theneck revealed a long segment of throm bosed internal jugular vein (IJV) along withleft peritonsillar abscess (Fig. 1, 2).