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Volume 46, Number 3, June 2013

Lemierre\'s syndrome in a patient with habitual toothpick usage 


Alice Ying-Jung Wu, Hsiang-Kuang Tseng, Jian Su, Chang-Pan Liu


Received: May 11, 2011    Revised: November 4, 2011    Accepted: February 24, 2012   

 

Corresponding author:

Division of Infectious Diseases, Department of Medicine, Mackay Memorial Hospital, Taipei, Taiwan
Mackay Medicine, Nursing and Management College, Taiwan
Corresponding author. Division of Infectious Diseases, Department of Medicine, Mackay Memorial Hospital, No. 92, Sec. 2, Zhongshan N. Rd., Zhongshan Dist., Taipei City 10449, Taiwan. 



 

Background and purpose: 

Lemierre's syndrome is characterized by septic thrombophlebitis of the internal jugular vein that is complicated by metastatic infections. The disease usually presents after oropharyngeal infection. In rare cases, odontogenic infection has been implicated as culprit. Here, we report a case of Lemierre's syndrome that most likely developed secondary to toothpick usage. The patient had an uneventful recovery after the timely administration of the appropriate antibiotics.
 



 

Key words:

Internal jugular vein, Lemierre's syndrome, Septic thrombophlebitis