Lemierre's syndrome

Question 1

What is Lemierre’s syndrome

Answer 1

infectious thrombophlebitis of the internal jugular vein

Question 2

Etiology of Lemierre’s syndrome

Answer 2

Thrombophlebitis of the internal jugular vein caused by usually a peritonsilar abcess (by Fusobacterium necrophorum )

Question 3

How does peritonsilar abcess lead to lemierre’s disease

Answer 3

spread of the infection laterally from the abscess and compression lead to thrombosis of the IJV.

Question 4

Presentation of liemers disease ?

Answer 4

sore throat
followed by neck pain, stiffness and tenderness (may be mistaken for meningitis)
and systemic involvement (fevers, rigors, etc)

Question 5

Major complication of Lemierre’s disease

Answer 5

Septic pulmonary emboli