• 作者：Celia Sá ; nchez Acedo^a ; ^{celiasanchezacedo@yahoo.es} ; Pedro Luis Martos Dí ; az^b ; Mario F. Muñ ; oz Guerra^c ; Luis Naval Gí ; as^c ; Francisco J. Rodrí ; guez Campo^c ; Emilio Martí ; n Dí ; az^d
• 关键词：S&iacute ; ndrome de Lemierre ; Trombosis de la vena yugular interna ; Mediastinitis aguda
• 刊名：Revista Espa帽ola de Cirug铆a Oral y Maxilofacial
• 出版年：2010
• 期刊代码：pca310_11300558
• 类别：med
• 出版时间：July-September 2010
• 卷：32
• 期：3
• 页码：119-122
• 文件大小：458 K

Lemierre syndrome is a potentially fatal condition after an oropharyngeal infection. It is characterized by thrombophlebitis of head and neck veins with systemic dissemination of septic emboli. The diagnosis of this syndrome is mainly clinical and complementary test only serve as aid to confirm it. We report an unusual case of Lemierre syndrome in a 31-year-old man caused by Gemella spp. and Streptococcus pyogenes. It developed following a pharyngotonsillitis infection, which deteriorated rapidly and progressively despite intravenous antibiotic treatment. He finally had to be intervened due to developing acute descending necrotizing mediastinitis from the pre-thyroid region to the diaphragm, with thrombosis of the internal jugular vein. An urgent thoracotomy and left cervicotomy was performed, with drainage of abundant purulent material and ligature of the internal jugular vein.

We also discuss its atypical clinical presentation, the crucial role of imaging in the early diagnosis, and the different treatment options of this life-threatening syndrome.