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J Korean Soc Emerg Med > Volume 25(4); 2014 > Article
Journal of The Korean Society of Emergency Medicine 2014;25(4): 489-494.
A Case of Lemierre's Syndrome in Young Patient with Acute Peritonsillar Abscess
Joon Tae Kang, Seung Seok Chae, Jeong Han Kim, Yu Cheng Shu, Young Uk Seo, Joon Woo Kim, Sung Il Ha
Department of Internal Medicine, Mokpo Jung-ang General Hospital, Mokpo, Korea. hsi98@daum.net
ABSTRACT
Lemierre's syndrome is very rare and is characterized by previous oropharyngeal infections, such as pharyngitis or peritonsillar abscess, leading to high fever, internal jugular venous thrombosis, and metastatic infections to multiple internal organs. Prompt and accurate diagnosis followed by early treatment with antibiotics is very important because its mortality is high if treatment is delayed. We report on the case of a 23-year-old female who was transferred to our hospital with a left peritonsillar abscess combined with left jugular venous thrombosis, complaining of a sore throat and left submandibular swelling, and diagnosed as Lemierre's syndrome. Finally, she was treated successfully without anticoagulants.
Key words: Lemierre syndrome, Peritonsillar abscess, Jugular venous thrombosis, Metastatic infections
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