Lemierre's syndrome comprises internal jugular vein thrombosis following oropharyngeal sepsis and is a rare and serious condition. It is most commonly caused by the anaerobe Fusobacterium necrophorum and typically presents as metastatic sepsis to the lungs and joints. Thrombosis is demonstrated by computed tomography (CT) of the neck, and it is routinely treated with intravenous antibiotics and anti-coagulation. We describe a case of Lemierre's syndrome following acute supraglottitis. The clinical features were of retrograde intracranial thrombosis, rather than the more usual metastatic sepsis.
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- Lemierre's syndrome is a rare, potentially life-threatening condition that can be caused by various bacteria, not just those initially identified by Andre Lemierre.
- A 62-year-old male patient with type 2 diabetes presented with severe neck swelling and required extensive medical interventions due to complications such as pulmonary abscesses and septic shock.
- Successful treatment involved the antibiotic meropenem and improved glycemic control, leading to the patient's recovery and discharge, underscoring the need for clinicians to be aware of diverse pathogens associated with Lemierre's syndrome, especially in diabetic patients.
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