n SA Journal of Radiology - Lemierre's syndrome - the uncommon cold - : case report

Volume 9, Issue 2
  • ISSN : 1027-202X
  • E-ISSN: 2078-6778



Lemierre's syndrome (postanginal sepsis / necrobacillosis) is a rare clinical entity characterised by the triad of acute oropharyngeal infection, with secondary thrombophlebitis of the internal jugular vein and metastatic septic emboli. A high degree of clinical suspicion is needed to diagnose the syndrome and the radiologist's awareness of it may expedite the diagnosis and therefore the appropriate treatment for these potentially fatal sequelae of a 'sore throat'. <BR> We present a case of a 20-year-old man admitted to Helen Joseph Hospital in July 2004 with multiple lung abscesses, in whom internal jugular vein thrombophlebitis was subsequently diagnosed. Chest radiographic and computed tomography (CT) images accompany a brief review of this largely forgotten syndrome

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