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May 17, 2010

Lemierre's Syndrome on CT Scan

Lemierre's Syndrome is a constellation of signs involving the bacteria Fusobacterium necrophorum. The syndrome usually begins with tonsillitis that progresses to an infected clot in the adjacent jugular vein. Bits of the infected clot break off and spread throughout the body spreading the infection. If it gets bad enough, sepsis may occur.

Here is a CT scan showing the key sign of a clotted off jugular vein indicating Lemierre's syndrome (red arrow). A normal appearing jugular vein is indicated by the blue arrow.

Fauquier blog
Fauquier ENT

Dr. Christopher Chang is a private practice otolaryngology, head & neck surgeon specializing in the treatment of problems related to the ear, nose, and throat. Located in Warrenton, VA about 45 minutes west of Washington DC, he also provides inhalant allergy testing/treatment, hearing tests, and dispenses hearing aids. Google+ Christopher Chang, MD Bio

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