• J. Infect. Chemother. · Jan 2016

    Case Reports

    Slowly progressive Lemierre's syndrome with orbital pain and exophthalmos.

    • Yuka Hama, Masatoshi Koga, Jun Fujinami, Shinya Asayama, and Kazunori Toyoda.
    • Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
    • J. Infect. Chemother. 2016 Jan 1; 22 (1): 58-60.

    AbstractLemierre's syndrome is an oropharyngeal bacterial infection characterized by rapidly progressive septic thrombophlebitis of the internal jugular vein. A lack of appropriate antibiotic therapy can be life-threatening. We describe the case of a 39-year-old man with Lemierre's syndrome who presented with long-lasting orbital pain and acute exophthalmos 6 weeks after initial infection. This report is to help clinicians consider the diagnosis of Lemierre's syndrome when encountering a patient with long-lasting orbital pain and acute exophthalmos. Neck ultrasonography is useful for detecting thrombophlebitis of the internal jugular vein in Lemierre's syndrome patients. Copyright © 2015 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

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