Abstract
Mitesh Kumar*, Prabhu Radhan and Bhawna Dev Department of Radiology, Sri Ramachandra Medical College and Hospital, Chennai, India *Corresponding author: Mitesh Kumar, MD, Senior Resident, Department of Radiology, Sri Ramachandra Medical College and Hospital, Chennai, India, Tel: 9003215202; E-mail: kumarmitesh@yahoo.com Received date: Feb 09, 2015, Accepted date: Feb 12, 2015, Published date: Feb 16, 2015 Copyright: © 2015 Kumar M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. History A 24 year old male patient presented with fever, chills, sore throat and neck pain since 2 weeks. He was tachycardiac and tachypneic on arrival. On auscultation, decreased entry in both lower lobes and crepitations were noted. Laboratory investigations showed elevated C-Reactive protein (CRP) and increased white blood cells (WBC) counts of 14,200/cm3. Chest radiograph supine AP view (Figure 1) was done initially on admission. As the patient’s condition worsened, a Computed Tomography (CT) scan of neck and chest (Figures 2-4) with intravenous contrast medium was done.
Highlights
A 24 year old male patient presented with fever, chills, sore throat and neck pain since 2 weeks
Q1: What are the radiological findings seen in plain chest radiograph and contrast enhanced Computed Tomography (CT) scan? Q2: What is the association between these radiological findings? Q3: What is the most common organism expected in the blood culture?
A2: The combination of lung parenchymal opacities and internal jugular vein thrombosis is a classical finding in Lemierre syndrome
Summary
A 24 year old male patient presented with fever, chills, sore throat and neck pain since 2 weeks. Laboratory investigations showed elevated C-Reactive protein (CRP) and increased white blood cells (WBC) counts of 14,200/cm3. Chest radiograph supine AP view (Figure 1) was done initially on admission. As the patient’s condition worsened, a Computed Tomography (CT) scan of neck and chest (Figures 2-4) with intravenous contrast medium was done. Q1: What are the radiological findings seen in plain chest radiograph and contrast enhanced CT scan?
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