Abstract:
BACKGROUND:Thrombosis of the internal jugular vein is a rare and critical disease which can also be a complication of a benign oropharyngeal infection (Lemierre syndrome). PATIENT:A 62 year old patient underwent septomplasty, endonasal turbinectomy, paranasal sinus surgery and tonsillectomy. The postoperative course was uneventful until the 11th post operative day when the patient reported a painful swelling on the right side of the neck. Color Doppler ultrasonography demonstrated thrombosis of the right internal jugular vein and a CT-scan showed a right sided cervical phlegmonous soft tissue inflammation originating from the right oropharynx. Despite immediate intravenous antibiotic treatment, the patient developed a septic infection and resection of the jugular vein was conducted. CONCLUSION:Lemierre syndrome is a rare condition which may also follow tonsillectomy. Under septic conditions, the resection of the internal jugular vein has to be performed to avoid serious complications.
journal_name
HNOjournal_title
HNOauthors
Sagowski C,Koch Udoi
10.1007/s00106-003-0846-6keywords:
subject
Has Abstractpub_date
2004-03-01 00:00:00pages
251-4issue
3eissn
0017-6192issn
1433-0458journal_volume
52pub_type
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