Lemierre's Syndrome

Today we discussed a case of Lemierre’s syndrome. 

  1. Lemierre’s syndrome is prototypically seen in patients with a preceding sore throat/pharyngitis who then develop neck swelling and signs of infection or sepsis.  This is due to septic thrombosis of the internal jugular vein.

  2. Treatment of Lemierre’s syndrome includes IV antibiotics, surgical drainage if an abscess is present and possible anticoagulation (however there is not good data to support this practice).