CTICasesLemierre's Syndrome
Imaging findings
CT neck and chest show a fluid collection/abscess in the left supraclavicular region and thrombosis of the left brachiocephalic vein. In the chest, there is extensive right middle lobe consolidation and infarction due to pulmonary artery occlusion, and multiple nodular cavities.
Key takeaways
Lemierre's syndrome is a rare, life-threatening complication of head and neck infections, classically caused by Fusobacterium necrophorum. It is characterized by septic thrombophlebitis of the internal jugular/brachiocephalic veins and septic pulmonary emboli with secondary lung infarction.
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