Discussion of Lemierre syndrome
- Lemierre syndrome is a rare clinical entity (fewer than 160 cases reported since it was first described in the early 1900s)
- Syndrome consists of internal jugular vein thrombosis after a primary oropharyngeal infection with the development of distant septic emboli.
- The lungs are most often affected; however, almost any organ may be involved.
- Classically, Lemierre syndrome occurs in otherwise healthy adolescents and young adults.
- The diagnosis is made with positive blood cultures, usually F. necrophorum, and appropriate imaging findings.
- Prompt diagnosis and treatment are necessary to prevent sepsis and subsequent death.
 Imaging Findings for Lemierre syndrome
- Internal jugular vein thrombosis with multiple pulmonary septic emboli.
- Often, imaging findings precede blood culture results.
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 References for Lemierre syndrome
- O'Brien, William T., Sr., Lattin, Grant E., Jr., Thompson, Adrianne K. Lemierre Syndrome: An All-But-Forgotten Disease. Am. J. Roentgenol. 2006 187: W324.