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Lemierre Syndrome: A Case Report

Waterman, Jason A. DO*; Balbi, Howard J. MD; Vaysman, Dimitry MD; Ayres, Roberto A. MD; Caronia, Catherine G. MD§

doi: 10.1097/PEC.0b013e3180302c0f
Illustrative Case
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Lemierre syndrome is a condition that can have high morbidity and mortality, but if it is diagnosed early in a patient's workup, that is, in the ED, the morbidity and mortality can be significantly decreased. First described by Dr Andre Lemierre in 1936, Lemierre syndrome is a clinical condition, which presents as septic emboli in the internal jugular vein after an untreated pharyngitis. This condition can have significant morbidity and mortality; therefore, although it is not common in today's era of antimicrobials, it should still be considered and thought of to prevent the significant consequences that may occur from it. In this article, we will present a child who was admitted for fever, neck pain, lymphadenopathy, and lung abscesses which was diagnosed as Lemierre syndrome. This syndrome will be discussed so as to heighten clinical awareness of it.

*Department of Pediatrics, †Division of Pediatric Infectious Disease, ‡Division of Pediatric Pulmonology and §Division of Pediatric Critical Care, Good Samaritan Hospital Medical Center, West Islip, NY.

Address correspondence and reprint requests to Jason A. Waterman, DO, Good Samaritan Medical Center Hospital, 1000 Montauk Highway, West Islip, NY 11795. E-mail: jwaterman@westernu.edu.

© 2007 Lippincott Williams & Wilkins, Inc.