Professional paper

Lemierre’s syndrome: case of a patient with pulmonary embolism and cavernous sinus thrombosis complicating a septic internal jugular vein thrombus

VOJKO FLIS ; Department of Vascular Surgery, Surgical Clinics Maribor, University Clinical Center Maribor, Ljubljanska 5, 2000 Maribor, Slovenia
NINA KOBILICA ; Department of Vascular Surgery, Surgical Clinics Maribor, University Clinical Center Maribor, Ljubljanska 5, 2000 Maribor, Slovenia
ANDREJ BERGAUER ; Department of Vascular Surgery, Surgical Clinics Maribor, University Clinical Center Maribor, Ljubljanska 5, 2000 Maribor, Slovenia

Abstract

Lemierre’s syndrome is a complex and unusual clinical entity, characterized by septic thrombophlebitis of the internal jugular vein. We present the case of a patient with Lemierre’s syndrome, pulmonary embolism and propagation of an internal jugular vein thrombus retrograde to the cavernous sinus. The patient was treated with antibiotics and heparin. The importance of rapid diagnosis of the extent of the disease, in directing the otherwise somewhat controversial treatment with heparin in patients with Lemierre’s syndrome, is stressed.

Keywords

Lemierre’s syndrome; internal jugular vein; septic venous thrombosis; anticoagulation treatment

Hrčak ID:

108713

URI

https://hrcak.srce.hr/108713

Publication date:

1.10.2012.

Visits: 1.332 *