A case of Lemierre syndrome with right internal jugular vein thrombus, indicating septic pulmonary embolism

Abstract

A man in his twenties suffered from sore throat, high fever and vomiting. He came to our emergency department with a two-day history of worsening of his condition. Chest computed tomography analysis revealed bilateral infiltrative and nodular shadows with small cavities, suggesting septic pulmonary embolism. Ultrasound imaging showed thrombosis in the right interval jugular vein. Fusobacterium necrophorum was isolated from a blood culture. These findings support the diagnosis of Lemierre syndrome.