Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
CASE REPORTS
Lemierre Syndrome with Blepharoptosis
Megu YamaguchiHitoshi NishizawaTaku YasumotoTakekazu KimuraYasuo TakeuchiAkinori TakeshitaToshiyuki TakaseHiroaki FujimotoMisa NakanoMegumu Fukunaga
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JOURNALS OPEN ACCESS

2010 Volume 49 Issue 8 Pages 753-757

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Abstract

A 51-year-old woman was hospitalized with a high fever, occipital pain, blepharoptosis, and trismus. Enhanced CT showed thrombophlebitis of her left cavernous sinus, maxillary vein, and multiple pulmonary nodular lesions. 18F-FDG PET/CT showed significant uptakes in the same lesions. Streptococcus constellatus was detected in her blood. Therefore, she was diagnosed as a Lemierre syndrome variant. After administration of antibiotics, all symptoms, inflammatory reactions, and thrombi disappeared. Since Lemierre syndrome has life-threatening potential, early diagnosis and initiation of appropriate therapy are important. In this case, 18F-FDG PET/CT was useful to detect the focus and extent of infection.

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© 2010 by The Japanese Society of Internal Medicine
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