Abstract
Lemierre’s syndrome is a rare but potentially fatal disease caused by oropharyngeal infections. It is characterized by thrombosis of the internal jugular vein leading to the systemic circulation of septic emboli. The common pathogen identified is Fusobacterium necrophorum. Our case involved thrombosis of the superficial internal jugular vein that developed after wisdom teeth extraction, a rarely reported complication.
Highlights
Lemierre’s syndrome is referred to as “the forgotten disease,” as it is rarely seen in the antibiotic era
It is a potentially fatal disease most commonly due to oropharyngeal infections leading to thrombophlebitis of the veins, the internal jugular vein [1,2,3,4]
It is a form of septicemia commonly caused by Fusobacterium necrophorum, leading to metastatic infection
Summary
Lemierre’s syndrome is referred to as “the forgotten disease,” as it is rarely seen in the antibiotic era It is a potentially fatal disease most commonly due to oropharyngeal infections leading to thrombophlebitis of the veins, the internal jugular vein [1,2,3,4]. We report an atypical case of Lemierre’s syndrome involving the superficial internal jugular vein following a wisdom teeth extraction. An 18-year-old male with no significant medical history presented with a three-day history of nausea and vomiting that began with left jaw pain and swelling He had an uneventful extraction of his wisdom teeth 20 days prior. The follow-up radiographic imaging demonstrated resolution of the pulmonary infiltration, superficial internal jugular vein thrombosis, and improvement of the left mandibular osteomyelitis
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