Puymirat Etienne, Biais Matthieu, Camou Fabrice, Lefèvre Jérome, Guisset Olivier, Gabinski Claude
Service de Réanimation Médicale, Hôpital Saint-André, CHU Bordeaux, rue Jean Burguet, 33000 Bordeaux, France.
Am J Emerg Med. 2008 Mar;26(3):380.e5-7. doi: 10.1016/j.ajem.2007.05.020.
Lemierre syndrome is a rare clinical entity, characterized by thrombosis of the internal jugular vein that develops after an oropharyngeal infection. We report the case of a 22-year-old woman hospitalized initially for cellulitis of the face. In view of the aggravation of the clinical state (septic shock and multiple organ failure), a computed tomography of the neck was performed and revealed a thrombosis of the right internal and external jugular veins. The patient was treated with antibiotics, heparin, and by a surgical excision for the vascular lesions associated with ligation of jugular veins. The patient completely recovered from her infection.
