PRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 99 No. 9 September 2006
A Case of Lemierre's Syndrome with the
Necessity of Ligating the Internal Jugular Vein
Hisashi Ohtsuka, Koji Nishimura, Tetsuya Yokoyama,
Kazuharu Yamazaki, Ken Ishijima and Hiroaki Sato
(Iwate Medical University)
A 29-year-old man visited our hospital complaining of right neck pain and swelling following acute tonsillitis. Computed tomography (CT) showed dilation of the right jugular vein without computational enhancement and numerous small nodules in both lungs. These findings led us to diagnose Lemierre's syndrome. To avoid further embolism formation, he underwent ligation of the right jugular vein and subsequent postoperative anticoagulation therapy, resulting in elimination of the thrombus.
Key words :Lemierre's syndrome, internal jugular vein thrombus, tonsillitis