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http://dx.doi.org/10.21593/kjhno/2019.35.2.31

A Case of Lemierre's Syndrome, Misdiagnosed as a Simple Deep Neck Infection on Initial Ultrasonography Followed by an Abscess Aspiration Trial  

Lee, Dong Yun (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine)
Kim, Sang Bin (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine)
Ban, Myung Jin (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine)
Publication Information
Korean Journal of Head & Neck Oncology / v.35, no.2, 2019 , pp. 31-34 More about this Journal
Abstract
Lemierre's syndrome is rare disease characterized by anaerobic sepsis, internal jugular vein thrombosis, septic emboli that resulted from head and neck infection. Lemierre's syndrome has significant morbidity, so immediate, accurate diagnosis and treatment is needed. It is necessary to perform contrast-enhanced computed tomography (CT) for diagnosis. Systemic antibiotics is recommended, and surgical interventions, anticoagulation may beis considered for treatment. We report misdiagnosed case as a simple deep neck infection on initial ultrasonography with simultaneous abscess aspiration but finally diagnosed and treated internal jugular vein thrombophlebitis (Lemierre's syndrome) on CT scan. We report a case of a 45-year-old patient, who was diagnosed with a simple deep neck infection and treated with simultaneous abscess aspiration, but finally diagnosed and treated internal jugular vein thrombophlebitis (Lemierre's syndrome) on CT scan.
Keywords
Lemierre's syndrome; Internal jugular vein; Thrombophlebitis; Ultrasonography guided aspiration;
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