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(Radiology. 1999;213:369-374.)
© RSNA, 1999

Head and Neck Imaging

Lemierre Syndrome: Forgotten but Not Extinct-Report of Four Cases1

Nicholas J. Screaton, MRCP, FRCR, James G. Ravenel, MD, Paul J. Lehner, MRCP, PhD, E. Robert Heitzman, MD and Christopher D. R. Flower, FRCP, FRCR

1 From the Departments of Radiology (N.J.S., C.D.R.F.) and Clinical Medicine (P.J.L.), Addenbrooke's Hospital, Hills Road, Cambridge, UK CB2 2QQ; and the Department of Radiology, State University of New York, Syracuse (J.G.R., E.R.H.). Received November 24, 1998; revision requested December 22; revision received February 10, 1999; accepted March 26. Address reprint requests to N.J.S. (e-mail: njs28@radiol .cam.ac.uk).

Four cases of Lemierre syndrome are reported in which metastatic abscesses resulted from septic thrombosis of the internal jugular vein secondary to bacterial pharyngitis. While chest radiographic findings were nonspecific, results of computed tomography (CT) of the thorax in each case were highly suggestive of septic pulmonary emboli. Internal jugular venous thrombosis was demonstrated at ultrasonography and contrast material-enhanced CT.

Index terms: Lemierre syndrome (new), 60.2163, 60.722, 907.751 • Lung, cavitation, 60.12112, 60.1241, 60.1298, 60.2163, 60.2812, 60.282 • Pharyngitis, 262.12112, 262.1298, 262.20, 262.28 • Veins, jugular, 907.122, 907.1298, 907.751 • Veins, thrombosis, 907.751




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