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Lemierre’s Syndrome

Smirniotopoulos, M.D. JGSM - MedPix (2011)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Lemierre’s Syndrome

History: 20 y.o. active duty man walks in to the ER c/o nagging neck pain of about 1 month duration. He crashes and codes en route to an ER bed.

Findings: • L IJV Thrombophlebitis • Mult septic emboli of upper lungs bilat • Bilat Pleural effusions R > L • Myositis of L Lateral Pterygoid A 1.23 cm x 0.5 cm x 0.5 cm filling defect seen involving the L IJV at the level of C5, likely septic thrombophlebitis according to history. Distal to the clot a 2.42cm narrowing vessel, possible spasm or elongation of clot. Mild right paratracheal adenopathy. Biapical & RUL nodular densities with ill-defined margins suggestive of septic emboli. Cannot exclude additional nodules in the atelectatic portions of the lungs. Large right pleural fluid collection w/ associated atelectasis of right lower/middle lobes & partial atelectasis right upper lobe. Small left pleural fluid collection and left basilar atelectasis.

Ddx: • Lemierre’s Syndrome • SBE • Severe Pneumonia • EBV mononucleosis

Dxhow: Blood cultures for Fusobacterium necrophorum

Exam: • Septic Shock w/ MODS 2/2 severe CAP diagnosed, pt resuscitated, extubated HD 2, fevers persisted despite empiric abx. • 48h Bcx positive for ANA non-spore-forming GNR • Diagnostic Imaging was performed…

No MeSH data available.


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Lemierre’s Syndrome

Smirniotopoulos, M.D. JGSM - MedPix (2011)

Replace this - DESCRIPTION OF THE IMAGE OR FINDINGS.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2270&req=5

MPX2270_synpic55618: Replace this - DESCRIPTION OF THE IMAGE OR FINDINGS.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Lemierre’s Syndrome

History: 20 y.o. active duty man walks in to the ER c/o nagging neck pain of about 1 month duration. He crashes and codes en route to an ER bed.

Findings: • L IJV Thrombophlebitis • Mult septic emboli of upper lungs bilat • Bilat Pleural effusions R > L • Myositis of L Lateral Pterygoid A 1.23 cm x 0.5 cm x 0.5 cm filling defect seen involving the L IJV at the level of C5, likely septic thrombophlebitis according to history. Distal to the clot a 2.42cm narrowing vessel, possible spasm or elongation of clot. Mild right paratracheal adenopathy. Biapical & RUL nodular densities with ill-defined margins suggestive of septic emboli. Cannot exclude additional nodules in the atelectatic portions of the lungs. Large right pleural fluid collection w/ associated atelectasis of right lower/middle lobes & partial atelectasis right upper lobe. Small left pleural fluid collection and left basilar atelectasis.

Ddx: • Lemierre’s Syndrome • SBE • Severe Pneumonia • EBV mononucleosis

Dxhow: Blood cultures for Fusobacterium necrophorum

Exam: • Septic Shock w/ MODS 2/2 severe CAP diagnosed, pt resuscitated, extubated HD 2, fevers persisted despite empiric abx. • 48h Bcx positive for ANA non-spore-forming GNR • Diagnostic Imaging was performed…

No MeSH data available.