Multiplanar Computed Tomography Reconstruction to Diagnose Lemierre’s Syndrome

• Type of Material: Article
• Authors: Courtney Shires, West Cancer Center; Theodore Klug, West Cancer Center; Mona Shete, Shete ENT; Merry Sebelik, Emory University
• Language: English
• Date: 2020-01-01
• Publisher: SAGE Publication Ltd.
• Publication Version: Final Published Version
• Copyright Statement: © The Authors 2020.
• License: Creative Commons Attribution-NonCommercial 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1177/2473974X20940692
• Title of Journal or Parent Work: OTO Open
• Volume: 4
• Issue: 3
• Grant/Funding Information: None.
• Keywords: Reconstruction; Diagnosis; Computer Science; Tomography, X-Ray Computed; Lemierre's Syndrome
• Research Categories: Health Sciences, Epidemiology; Health Sciences, Oncology; Engineering, Biomedical

Abstract

First reported in 1918 by Schottmuller and further popularized by Andre Lemierre in 1936, Lemierre’s syndrome (LS) is characterized by a history of recent oropharyngeal infection, clinical or radiologic evidence of internal jugular vein (IJV) thrombosis, and isolation of an anaerobic pathogen, mainly Fusobacterium necrophorum.1 It is also named postanginal sepsis or necrobacillosis and is seen mostly in healthy teenagers and young adults.2 Anaerobic infection may result in septic thrombophlebitis of the ipsilateral IJV with subsequent septicemia and septic embolization, which cause metastatic abscesses in the lungs, bones, large joints, liver, kidneys, and peritoneum.