Lemierre syndrome complicated by cavernous sinus thrombosis, the development of subdural empyemas, and internal carotid artery narrowing without cerebral infarction
Authors:
- Franklin WesthoutFWFranklin Westhout
- Anton HassoAHAnton Hasso
- Mehrdad JaliliMJMehrdad Jalili
- Behnoosh AfghaniBABehnoosh Afghani
- William ArmstrongWAWilliam Armstrong
- Chiedozie NwagwuCNChiedozie Nwagwu
- Laurie L. AckermanLALaurie L. Ackerman
- 1 January 2007
- journal article
- research article
- Published by Journal of Neurosurgery Publishing Group (JNSPG) in Journal of Neurosurgery
- Vol. 106 (1) , 53-56
Abstract
Lemierre syndrome is an extremely rare complication of mild-to-moderate pharyngeal infections. The authors pre sent an unusual case of Lemierre syndrome in a 16-year-old boy with cavernous sinus thrombosis and right internal carotid artery narrowing without neurological sequelae, right subdural empyema, and cerebritis in the right temporal and occipital lobes. Neuroimaging also demonstrated right jugular vein thrombosis. Cultures of samples from the blood proved positive for the presence of Fusobacterium necrophorum. The patient underwent unilateral tonsillectomy, drainage of the peritonsillar abscess, and a myringotomy on the right side. Postoperatively the patient was treated conservatively with antibiotic therapy resulting in an excellent outcome.Keywords
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