2003 Volume 14 Issue 4 Pages 303-307
We report a case of Lemierre’s syndrome that is an uncommon septic thrombophlebitis of the internal jugular vein. A 77-year-old woman suffered from pain and swelling of the left side of her neck was admitted into our hospital. Blood chemistry findings showed an inflammatory and hypercoagulable states.
Contrast-enhanced computed tomography and magnetic resonance imaging of the neck revealed the presence of an occlusive thrombosis of the left internal jugular vein. Her symptoms and the jugular vein thrombus showed remarkable improvement after administration of antiimflammation and anticoagulation therapy. No pulmonary embolism or other metastatic infection were observed. It was suggested that accurate diagnosis during early treatment was essential to obtain a successful prognosis for Lemierre’s syndrome.