Severe Pulmonary Abscesses and Empyema due to Fusobacterium necrophorum (Lemierre's Syndrome)
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Imaging findings
Radiographs demonstrate fluid levels in the right hemithorax, with difficulty distinguishing between pleural and intraparenchymal collections. CT reveals extensive abnormalities including multiple pulmonary parenchymal abscesses, particularly large in the right lower lobe, associated with regional lymph node enlargement, pleural fluid, and pleural air (empyema).
Key takeaways
This case highlights the severity of infection that can be caused by *Fusobacterium necrophorum*, classically associated with Lemierre's syndrome, here presenting with extensive pulmonary parenchymal abscesses and empyema. CT is crucial for disentangling parenchymal from pleural collections in severe cases.
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