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Papers of the Week


2021 Apr 26


J Neurosurg Case Lessons


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17

Postoperative Lemierre’s syndrome: a previously unreported complication of transoral surgery. Illustrative case.

Authors

Mariniello G, Corvino S, Teodonno G, Pagano S, Maiuri F
J Neurosurg Case Lessons. 2021 Apr 26; 1(17):CASE20118.
PMID: 35855218.

Abstract

Lemierre's syndrome is a rare but potentially life-threatening clinical condition characterized by bacteremia and thrombophlebitis of the internal jugular vein, usually secondary to oropharyngeal infection and often caused by ; rarely, it occurs after surgical procedures. The most common clinical presentation includes acute pharyngitis, high fever, and neck pain. The diagnosis is based on blood culture and cranial and cervical spine computed tomography (CT)/magnetic resonance imaging (MRI) with contrast. Antibiotic therapy for 3-6 weeks is the mainstay of treatment, while the use of anticoagulant drugs is controversial.