Lemiere’s syndrome

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Lemiere’s syndrome. This is thrombophlebitis of the internal jugular vein. Fully referenced neurology checklist.

Pathology

  • This is thrombophlebitis of the internal jugular vein
  • It results from infection in the parapharyngeal space
  • Fusobacterium necrophorum is the usual causative organism
  • It may be sexually transmitted
  • The mortality rate is 5%

Sources of infection

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Epidemiology

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Clinical features

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Complications

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Investigations

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Treatment

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Synonym

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References

  1. Al Duwaiki SM, Al Barwani AS, Taif S. Lemierre's syndrome. Oman Med J 2018; 33:523-526.
  2. Lee WS, Jean SS, Chen FL, Hsieh SM, Hsueh PR. Lemierre's syndrome: A forgotten and re-emerging infection. J Microbiol Immunol Infect 2020; 53:513-517.
  3. Johannesen KM, Bodtger U. Lemierre's syndrome: current perspectives on diagnosis and management. Infect Drug Resist 2016; 9:221-227.
  4. Ueno K, Horiuchi H, Utada S, et al. Lemierre's syndrome as a sexually transmitted disease due to porphyromonas asaccharolytica suspected to be caused by pharyngitis due to Mycoplasma pneumoniae and Epstein-Barr virus. Cureus 2022; 14:e28219.
  5. Karkos PD, Asrani S, Karkos CD, et al. Lemierre's syndrome: a systematic review. Laryngoscope 2009; 119:1552-1559.
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