A Case of Lemierre’s Syndrome with Thrombosis of the Anterior Jugular Vein

Abstract

Herein, we report a case of Lemierre’s syndrome with thrombosis of the anterior jugular vein. A 21-year-old man without any significant previous medical history presented to us with a history of fever and sore throat. While he complained of a severe sore throat, examination of the pharynx showed no clinically significant signs. However, we noticed a palpable induration on his right neck. Computed tomography (CT) showed anterior jugular vein thrombosis and multiple subpleural tumors. On the basis of these findings, we diagnosed the patient as having Lemierre’s syndrome. He was initiated on treatment with intravenous SBT/ABPC and oral warfarin. His symptoms rapidly improved in response to the treatment. When he initially presented to the hospital, his chest radiograph showed some nodules; post-treatment, these nodules had completely resolved. Anticoagulant therapy with warfarin was continued even after the patient was discharged. Lemierre’s syndrome is a disease that follows laryngopharyngeal infection and is characterized by thrombophlebitis of the internal jugular vein.