A Novel Account of the 'Forgotten Disease'

Main Article Content

Saikat Samaddar
Titas Kar
Rahul Sarkar
Saumendra Nath Bandyopadhyay

Abstract


Introduction



Septic thrombophlebitis of Internal Jugular Vein (IJV) secondary to head neck infection, demonstrated by Lemierre in 1936,  is a rare although known entity.


Case Report


A 35 year old known diabetic female patient presented in the ENT OPD
with complaints of excruciating pain and swelling on the left side of the
neck for past three weeks. A tender neck mass of around 8cm x 5cm in
the left side of neck along the anterior border of sternocleidomastoid was
palpable. A computed tomographic (CT) scan of neck revealed a thrombosed left internal jugular vein along with adjoining left sided level 2 and 3 suppurative cervical lymphadenopathy. She was treated conservatively with broad spectrum antibiotics and the patient improved after prolonged treatment. 


Discussion


Lemierre syndrome has been appropriately termed as a forgotten disease. This has been an important cause of missed cases. High suspicion of IJV thrombosis in head neck infections, more so in the oropharyngeal infection is the key to diagnosis.

Article Details

How to Cite
1.
Samaddar S, Kar T, Sarkar R, Bandyopadhyay SN. A Novel Account of the ’Forgotten Disease’. BJOHNS [Internet]. 2020Aug.31 [cited 2024Nov.21];28(2):187-91. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/324
Section
Case report
Author Biographies

Saikat Samaddar, Purulia Government Medical College and Hospital, Department of Otorhinolaryngology and Head Neck Surgery

RMO cum Clinical Tutor, 

Department of Otorhinolaryngology and Head Neck Surgery

Titas Kar, Institute of Postgraduate Medical Education and Research, Institute of Otorhinolaryngology and Head Neck Surgery

Senior Resident, Institute of Otorhinolaryngology and Head Neck Surgery, Kolkata

Rahul Sarkar, Medical College and Hospital Kolkata, Institute of Otorhinolaryngology and Head Neck Surgery

Senior Resident,

Saumendra Nath Bandyopadhyay, Medical College and Hospital Kolkata, Department of Otorhinolaryngology and Head Neck Surgery

Professor, Dept of Otorhinolaryngology and Head Neck Surgery

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